Jonatha G Fitzgerald
Physical Therapy Assistant
4560 Se International Way Consonus Rehab Services
Milwaukie
, Oregon 97222
Jonatha G Fitzgerald
Physical Therapy Assistant
4560 Se International Way Consonus Rehab Services
Milwaukie
, Oregon 97222
(971) 206-5209
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jonatha G Fitzgerald
- 4560 Se International Way
- Milwaukie, OR
- Zip : 97222
- Fax : (971) 206-5209
- Phone : (971) 206-5140
Second Address
- Jonatha G Fitzgerald
- 4560 Se International Way Consonus Rehab Services
- Milwaukie, OR
- Zip : 97222
- Fax : (971) 206-5209
- Phone : (971) 206-5140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 4852 | OR |
National Provider Identifier
| NPI | 1003907528 |
|---|---|
| Provider Name | Jonatha G Fitzgerald |
| First Address | Milwaukie, OR 97222 |
| Second Address | Milwaukie, OR 97222 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.