Individual
MR. GREGORY DOMINIC FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1000 US HIGHWAY 82 E, SHERMAN, TX 75090-1704
(903) 893-9636
Mailing address
3225 MAUMELLE DRIVE, PLANO, TX 75023-1319
(469) 467-3949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210616
TX
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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