Individual
STEPHANIE LEE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
255 59TH ST N, ST PETERSBURG, FL 33710-8539
(727) 345-2775
Mailing address
11601 4TH ST N APT 3407, ST PETERSBURG, FL 33716-2748
(321) 474-9839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
281243
FL
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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