Individual
MICHAEL FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 MCDERMOTT DR, WEST CHESTER, PA 19380-4022
(610) 430-3545
(610) 430-3547
Mailing address
163 POTTSTOWN PIKE, CHESTER SPRINGS, PA 19425-9518
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TPT021965
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TPT021964
PHYSICAL THERAPY
PA
Enumeration date
07/20/2017
Last updated
07/20/2017
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