| Doctor Name: | JOHN C FITZGERALD |
| NPI Number: | 1760677967 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 6080 |
| Business Practice Address: | 4237 River Hills Dr Ste 120 Little River, SC - 295666444 |
| Business Phone Number: | 8432495616 |
| Business Fax Number: | 8432491843 |
| Mailing Address: | Po Box 1844, CLEMSON |
| State: | SC |
| Postal Code: | 296331844 |
| Phone Number: | 8644820064 |
| Fax Number: | 4824820081 |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6080 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |