Individual
MINDY J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 NW 39TH CT, CORAL SPRINGS, FL 33065-2307
(954) 815-2352
Mailing address
10601 NW 39TH CT, CORAL SPRINGS, FL 33065-2307
(954) 815-2352
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11585
FL
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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