Individual
JACQUELINE MORGAN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 STRAITS TPKE STE 303, MIDDLEBURY, CT 06762-1836
(203) 598-0400
(203) 598-0852
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1458
(203) 419-0381
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12761
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00490381
—
CT
Enumeration date
09/08/2020
Last updated
03/13/2024
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