Individual
KATIE FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49746 POTOMAC RD, CANTON, MI 48188-3465
(985) 377-5469
Mailing address
49746 POTOMAC RD, CANTON, MI 48188-3465
(985) 377-5469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001289
MI
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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