Evan Fitzgerald, PTA
Evan Fitzgerald, PTA is a Physical Therapy Assistant in Walled Lake, Michigan. Licensed in Michigan. Registered with an NPI since 2016.
- Licensed in
- MI
- In the registry since
- 2016
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
1505 Oakshade St #61Walled Lake, MI 48390-2173
Phone: (248) 635-5256
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 5502004814 (MI) |
|---|
Record details
| NPI number | 1417315250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | February 8, 2016 |
| Last updated in NPPES | February 8, 2016 |
| Mailing address | 1505 Oakshade St, 61, Walled Lake, MI 48390-2173 |