Individual
MISS KELLY ROSE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2110 BEN CRAIG DR STE 300, CHARLOTTE, NC 28262-2302
(704) 595-9363
(704) 595-9365
Mailing address
6613 BOBBIE LN, INDIAN TRAIL, NC 28079-6539
(980) 229-5301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10673
NC
Other
Enumeration date
06/18/2012
Last updated
10/31/2016
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