Individual
MR. MICHAEL JAMES FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
22 CARLSON LN, GARDNER, MA 01440-4225
(978) 630-3353
Mailing address
22 CARLSON LN, GARDNER, MA 01440-4225
(978) 630-3353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6190
MA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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