Dana Maureen Fitzgerald, OTR/L

Individual provider Active NPI Occupational Therapist · Fowler, OH

NPI 1609164201 · NPPES record last updated Jul 16, 2011

Key facts

NPI
1609164201
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC003705L (PA)
Practice address
4563 Sodom Hutchings Rd
Fowler, OH 44418-9706
Phone
(330) 978-5595
NPI assigned
Jul 16, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT003183OHMDOccupational Therapist
OC003705LPAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT003183 OH
Occupational Therapist 225X00000X OC003705L PA Yes

Addresses

Primary practice location

4563 Sodom Hutchings Rd
Fowler, OH 44418-9706

Mailing address

4563 Sodom Hutchings Rd
Fowler, OH 44418-9706
Phone (330) 978-5595

Other providers in Fowler, OH

All providers in Fowler, OH · Occupational Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.