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Individual

MS. ANTONIA M FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
700 FREEDOM BLVD, CANTON, GA 30114-8378
(770) 293-7910
Mailing address
700 FREEDOM BLVD, CANTON, GA 30114-8378

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OT12446
FL
225X00000X
Occupational Therapist
Primary
OT007253
GA

Other

Enumeration date
03/01/2007
Last updated
03/03/2025
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