Individual
MACKENZIE RAE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 STONEBRIDGE SQ, HAVELOCK, NC 28532-9505
(252) 571-2078
Mailing address
3519 SHARON CIR, SCHNECKSVILLE, PA 18078-2917
(610) 844-7384
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16132
NC
Other
Enumeration date
05/29/2024
Last updated
06/03/2024
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