Michael Brandon Fernandez, PT, DPT
Physical Therapist in Corona Del Mar, CA. Individual provider (NPI-1).
NPI number1679229876
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1679229876
- Entity type
- Individual (NPI-1)
- Name
- Michael Brandon Fernandez
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2022
- Certification date
- Feb 25, 2022
- Last updated
- Feb 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 301638 | CA | Yes |
Practice location
2600 Pacific Coast Hwy Ste 150Corona Del Mar, CA 92625-2144
Phone 949-640-2121
Mailing address
21827 Arbor CtWalnut, CA 91789-1490
Phone 909-868-8427
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All 10 Physical Therapist providers in Corona Del Mar · All 212 providers in Corona Del Mar
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