Individual
CHRIS JOY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6347
(973) 835-7443
Mailing address
12 GRAHAM PL, CLIFTON, NJ 07013-1516
(973) 330-7793
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09237900
NJ
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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