Individual
MRS. ASHLEY LIST FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
333 MOUNT HOPE AVE STE 310, ROCKAWAY, NJ 07866-1657
(973) 727-8998
Mailing address
527 DELL RD, LANDING, NJ 07850-1734
(973) 727-8998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00737400
NJ
225XH1200X
Hand Occupational Therapist
46TR00737400
NJ
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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