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Organization

WONDERLAND PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MARIE FITZGERALD BA, COTA/L (OWNER, OT ASSISTANT)
(732) 691-2212
Entity
Organization

Contact information

Practice address
10720 SIKES PL STE 120, CHARLOTTE, NC 28277-8142
(980) 469-8109
(704) 973-9219
Mailing address
146 MARRON DR, INDIAN TRAIL, NC 28079-4510

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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