Individual
GISELLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
160 SW 30TH AVE APT 208A, MIAMI, FL 33135-1267
(786) 291-7674
Mailing address
160 SW 30TH AVE APT 208A, MIAMI, FL 33135-1267
(786) 291-7674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24257
FL
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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