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Individual

OSCAR R FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
8142 S STATE ST, SUITE 103, MIDVALE, UT 84047-3210
(801) 708-9226
(877) 822-8366
Mailing address
8142 S STATE ST, SUITE 103, MIDVALE, UT 84047-3210
(801) 708-9226
(877) 822-8366

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
119141-2401
UT

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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