Individual
MRS. JENNIFER LYNN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
PO BOX E, LIVONIA, NY 14487-0489
(585) 346-4000
Mailing address
PO BOX E, LIVONIA, NY 14487-0489
(585) 346-4000
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
008393-1
NY
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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