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General NPI Number Information
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NPI Number | 1003949280
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Entity Type | Organization
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Legal Business Name | FITZGERALD PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 94 N ELM ST STE 308
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City | WESTFIELD
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State | MA
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Zip | 01085-1641
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Country | US
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Telephone | 413-568-1077
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Fax | 413-568-1527
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Provider Business Mailing Address
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Address Line | 94 N ELM ST STE 308
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City | WESTFIELD
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State | MA
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Zip | 01085-1641
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Country | US
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Telephone | 413-568-1077
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Fax | 413-568-1527
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Authorized Official
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Title or Position | PHYSICAL THERAPIST PRESIDENT
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Name | ERIN FITZGERALD
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Credential | P.T.
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Telephone | 413-568-1077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10709
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License Number State | MA
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