Individual
KRISTINA FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 275-5645
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 275-5645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01728
RI
2255A2300X
Athletic Trainer
AT00176
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902093495
RI BLUE CROSS
RI
Enumeration date
09/27/2007
Last updated
06/15/2009
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