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NPI Code Detail

MEDICARE: DOLORES FITZGERALD

MEDICARE: DOLORES FITZGERALD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14237OTHERCOLICENSE #

General Provider Information

NPI Number : 1295843860
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOLORES FITZGERALD
Provider Business Mailing Address
First Line : 3388 OAK LEAF PL
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-4690
Country : US
Telephone Number : 303-470-8239
Fax Number :
Provider Business Practice Location Address
First Line : 814 S PERRY ST STE D
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1942
Country : US
Telephone Number : 303-814-2865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/08/2007

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Directions to “ DOLORES FITZGERALD ” Practice Location

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