Individual
STEPHANIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13900 HEYWOOD DR, PFLUGERVILLE, TX 78660-6125
(737) 297-2189
Mailing address
13900 HEYWOOD DR, PFLUGERVILLE, TX 78660-6125
(737) 297-2189
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216198
TX
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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