Individual
MRS. MICHELLE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
150 E WYNNEWOOD RD, APT 18L, WYNNEWOOD, PA 19096-1547
(484) 683-5081
Mailing address
150 E WYNNEWOOD RD, APT 18L, WYNNEWOOD, PA 19096-1547
(484) 683-5081
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OCO11326
PA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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