Individual
KRISTIN DEZARA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 S LINDEN RD STE 100, FLINT, MI 48532-3416
(810) 262-2000
Mailing address
2919 CHICAGO BLVD, FLINT, MI 48503-3472
(810) 308-7800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008055
MI
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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