Individual
JILL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03535
IA
225100000X
Physical Therapist
070-013492
IL
225100000X
Physical Therapist
Primary
—
MO
Other
Enumeration date
03/08/2006
Last updated
12/15/2015
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