Individual
MARYANNE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5625 BIG PAW HEIGHTS, COLORADO SPRINGS, CO 80919
(631) 902-5657
Mailing address
5625 BIG PAW HTS, COLORADO SPRINGS, CO 80919-3774
(631) 902-5657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
660471108
NY
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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