Individual
MRS. JAMIE LYN FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
22 MASONIC AVE, MASONIC HEALTHCARE CENTER, WALLINGFORD, CT 06492-3048
(203) 679-6570
Mailing address
58 SCHOOL HOUSE RD, WALLINGFORD, CT 06492-3455
(203) 679-6750
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
006737
CT
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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