Individual
MR. EMMANUEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
214 W 5TH ST, SUITE D & E, JOPLIN, MO 64801-2501
(417) 782-2917
Mailing address
206 MADISON ST APT C, KENNETT, MO 63857-1700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015499
IL
225100000X
Physical Therapist
Primary
2005005734
MO
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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