Individual
ORIETTA MAGALY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MANUAL THERAPIST
Contact information
Practice address
1135 BROAD ST STE 103, CLIFTON, NJ 07013-3346
(917) 833-1198
Mailing address
33 PIAGET AVE, CLIFTON, NJ 07011-1216
(201) 640-8989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01421500
NJ
Other
Enumeration date
07/14/2023
Last updated
08/25/2023
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