Individual
MR. GARRETT JAMES FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4002 EXECUTIVE PARK BLVD STE 800, SOUTHPORT, NC 28461-9069
(910) 477-6236
(910) 477-6357
Mailing address
4002 EXECUTIVE PARK BLVD STE 800, SOUTHPORT, NC 28461-9069
(910) 477-6236
(910) 477-6357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14504
NC
Other
Enumeration date
08/07/2006
Last updated
12/05/2018
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