Individual
JILL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 PROSPECT AVE, OXFORD, NC 27565-2543
(919) 693-1531
Mailing address
5 GWENDOLYN CIR, DURHAM, NC 27703-2904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9579
NC
Other
Enumeration date
06/19/2010
Last updated
06/19/2010
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