Evan Fitzgerald, PTA
NPI #1417315250 in Walled Lake, Michigan
Provider Information
- NPI Number
- 1417315250
- Entity Type
- Individual
- Name
- Evan Fitzgerald, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 8, 2016
- Last Updated
- Feb 8, 2016
Practice Location
- Address
- 1505 OAKSHADE ST
- Address 2
- #61
- City
- Walled Lake
- State
- Michigan
- ZIP Code
- 48390-2173
- Phone
- (248) 635-5256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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