MICHAEL FITZGERALD JR.

Rehabilitation Practitioner

Active Individual
NPI: 1417149725

Practice Address

921 S BEACON ST
San Pedro, CA 90731

Phone: (310) 984-3055

Specialties

Specialty Code Primary License
Rehabilitation Practitioner 225400000X Yes -
Counselor 101Y00000X No -

Frequently Asked Questions

NPI 1417149725 is the National Provider Identifier for MICHAEL FITZGERALD JR., a Rehabilitation Practitioner provider located in San Pedro, CA. This NPI was enumerated on August 10, 2007.
MICHAEL FITZGERALD JR. practices at 921 S BEACON ST, San Pedro, CA 90731.

Quick Facts

NPI
1417149725
Type
Individual
Enumerated
Aug 10, 2007
Last Updated
Feb 12, 2014

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