Individual
ALYSSA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTP
Contact information
Practice address
765 N 114TH AVE, AVONDALE, AZ 85323-5002
(602) 933-7778
(602) 933-4296
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033608
AZ
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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