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Individual

LYDIA FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
1333 MEADOWLARK LN, SUITE 200, KANSAS CITY, KS 66102-1260
(913) 596-2774
(913) 596-2890
Mailing address
1333 MEADOWLARK LN, SUITE 200, KANSAS CITY, KS 66102-1260
(913) 596-2774
(913) 596-2890

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01669
KS
225200000X
Physical Therapy Assistant
2003000922
MO

Other

Enumeration date
06/17/2013
Last updated
06/17/2013
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