Individual
JULIE M FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
780 ROUTE 37 W, SUITE 140, TOMS RIVER, NJ 08755-5059
(732) 240-6400
(732) 240-6420
Mailing address
4175 VETERANS MEMORIAL HWY, SUITE 202, RONKONKOMA, NY 11779-7639
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00579100
NJ
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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