Individual
JUAN MIGUEL FERNANDEZ MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
800 MEDCALF ST, MONTESANO, WA 98563
(360) 249-2273
Mailing address
10 S 9TH ST, STE 4, NOBLESVILLE, IN 46060-2631
(765) 524-3946
(317) 708-6496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60998517
WA
Other
Enumeration date
10/29/2019
Last updated
10/13/2020
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