Individual
GERALD C FITZGIBBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 N 5TH AVE, MADILL, OK 73446-1200
(580) 795-3301
(580) 795-7307
Mailing address
PO BOX 15294, ASHEVILLE, NC 28813-0294
(828) 698-3489
(828) 698-3490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11030
NC
Other
Enumeration date
08/14/2009
Last updated
08/01/2019
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