Individual
ERIC FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146
(215) 546-5960
Mailing address
71 W CHEROKEE DR, NEWARK, DE 19713-3922
(302) 668-4664
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008289
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/04/2013
Last updated
06/05/2018
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