JESSE MATTHEW FITZGERALD

GREEN BAY, WI
NPI1770912024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1533-19)
Enumeration Date2013-11-07
Last Update Date2015-03-05
Business Address
MR. JESSE MATTHEW FITZGERALD
228 NEWHALL ST
GREEN BAY, WI 54302-1708
Phone number: 715-651-7382
Mailing Address
MR. JESSE MATTHEW FITZGERALD
228 NEWHALL ST
GREEN BAY, WI 54302-1708
Phone number: 715-651-7382
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