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Individual

MA KATHERINE C FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1013 RIVERBURCH PKWY, SUITE 4, DALTON, GA 30721-8887
(866) 261-8090
(706) 226-7869
Mailing address
834 HEATHERBROOKE LN, MACON, GA 31210-9702
(785) 380-3284

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT04545
GA

Other

Enumeration date
09/10/2009
Last updated
03/05/2024
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