Individual
LEO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002543
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1-0002543
PT LICENSE
DE
Enumeration date
06/08/2017
Last updated
07/10/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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