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Individual

ANGELA RENEE FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
2720 CHARLES TOWN RD, MARTINSBURG, WV 25405-5626
(304) 263-0933
Mailing address
2473 GRADE RD, FALLING WATERS, WV 25419-3864
(304) 676-4244

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1239
WV

Other

Enumeration date
05/15/2017
Last updated
05/15/2017
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