Individual
CLARISSA MARYANNE FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 HOSPITAL BLVD, ROSWELL, GA 30076-4915
(770) 751-2500
Mailing address
2830 CARRIAGE MOUND CT, CUMMING, GA 30040-2231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009613
GA
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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