Individual
KELLY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 SHERWOOD PARK DR NE STE 220, GAINESVILLE, GA 30501-3426
(770) 904-6009
Mailing address
2089 TERON TRCE STE 120, DACULA, GA 30019-1609
(770) 904-6009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007586
GA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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