Individual
AMANDA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21 DIVISION ST, PAWTUCKET, RI 02860-5352
(401) 726-7100
(401) 721-5214
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02462
RI
Other
Enumeration date
02/09/2012
Last updated
01/09/2023
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