Individual
MRS. MYRNA M FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
BACHARACH INSTITUTE, 61 WEST JIM LEEDS RD, POMONA, NJ 08240
(609) 652-7000
Mailing address
401 N MAIN ST, 232B, WILLIAMSTOWN, NJ 08094-1464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00075600
NJ
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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