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Carlo Fernandez

Physical Therapy Assistant in Irvine, CA. Individual provider (NPI-1).

NPI number1700323409
StatusActive
Last updated in NPPESJan 19, 2017

Details

NPI
1700323409
Entity type
Individual (NPI-1)
Name
Carlo Fernandez
Sex
Male
Sole proprietor
No
Enumeration date
Jan 19, 2017
Last updated
Jan 19, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant48205CAYes

Practice location

17752 Sky Park Cir
Irvine, CA 92614-6419

Phone 949-885-0300

Mailing address

385 S Manchester Ave
Unit 4025
Orange, CA 92868-3267

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