Individual
JAYNE LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1110 VINYARD RD, VINTON, VA 24179-3632
(540) 343-0466
(540) 345-2261
Mailing address
1110 VINYARD RD, VINTON, VA 24179-3632
(540) 343-0466
(540) 345-2261
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001766
VA
Other
Enumeration date
10/25/2005
Last updated
06/06/2016
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