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1033653480
SHANITA FERNANDES
WORCESTER, MA
NPI
1033653480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 22724)
Enumeration Date
2016-12-05
Last Update Date
2018-11-29
Business Address
SHANITA FERNANDES PT
50 GOLD STAR BLVD
WORCESTER, MA 01606
Phone number: 508-856-9510
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Mailing Address
SHANITA FERNANDES PT
5 NEPONSET ST FL ST12
WORCESTER, MA 01606-2714
Phone number: 508-856-9510
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