Individual
MARY ANN DREZA ALINO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, COMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
000839
WV
225100000X
Physical Therapist
0105003469
VA
225100000X
Physical Therapist
13262-24
WI
225100000X
Physical Therapist
Primary
PT000839
WV
225100000X
Physical Therapist
PT003437
GA
Other
Enumeration date
02/11/2015
Last updated
12/23/2022
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