| NPI | 1124321674 |
|---|---|
| Former Name | DOROTHY FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014388A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-018222) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2026-03-16 |