| NPI | 1265617054 |
|---|---|
| Former Name | KATHERINE LYNN FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5202) |
| Additional Taxonomies | 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |