Individual
KATHLEEN LIBERTA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5883
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5883
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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