Individual
ADRIAN L FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12463 PATRICIA DR, CERRITOS, CA 90703-7141
(562) 924-7507
Mailing address
12463 PATRICIA DR, CERRITOS, CA 90703-7141
(562) 924-7507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1937
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT1937
LICENCING BOARD
CA
Enumeration date
07/16/2007
Last updated
07/16/2007
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