Individual
PENNY LOUISE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 W 11TH PL, BIG SPRING, TX 79720-4114
(432) 263-1211
Mailing address
901 E FM 700 APT 323, BIG SPRING, TX 79720-5767
(228) 238-8528
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2150914
TX
225200000X
Physical Therapy Assistant
2150914
TX
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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