Individual
ISAAC FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
120 PARAGON LN STE 218, EL PASO, TX 79912-6317
(915) 213-1289
Mailing address
861 VIA GLORIETA, SUNLAND PARK, NM 88063-9629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155414
TX
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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