Doctor Name: | HEATHER MICHELLE FITZGERALD |
NPI Number: | 1518208909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT39890 |
Business Practice Address: | 2755 Bristol St Suite 130 Costa Mesa, CA - 926265985 |
Business Phone Number: | 7149662950 |
Business Fax Number: | 7145572487 |
Mailing Address: | 4482 Barranca Pkwy, Suite 195 IRVINE |
State: | CA |
Postal Code: | 926047701 |
Phone Number: | 9496793337 |
Fax Number: | 9496793336 |
NPI Enumeration Date: | 03/08/2013 |
NPI Last Update Date: | 11/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT39890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |