Search › Michigan › 225200000X
Evan Fitzgerald, PTA
NPI 1417315250 · on the registry since 2016
Practice
- Address
- 1505 Oakshade St
#61
Walled Lake, MI 48390 - Phone
- (248) 635-5256
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan