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Individual
ALYSSA FERNANDEZ
Active
Individual
ALYSSA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
051022
NY
2251X0800X
Orthopedic Physical Therapist
Primary
P24167
NC
Other
Enumeration date
09/05/2023
Last updated
10/29/2025
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