Individual
CHRISTOPHER FERNALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4720 E COTTON GIN LOOP, STE 140, PHOENIX, AZ 85040-4823
(602) 567-9881
Mailing address
4720 E COTTON GIN LOOP, STE 140, PHOENIX, AZ 85040-4823
(602) 567-9881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7791A
AZ
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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