Individual
MR. TERRY FITZGERALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
903 CLOVER CIR, LAFAYETTE, CO 80026-1771
(303) 859-5389
Mailing address
903 CLOVER CIR, LAFAYETTE, CO 80026-1771
(303) 859-5389
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0695
WY
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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