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1194744987
THERESA FERNANDEZ
CHARLESTON, WV
NPI
1194744987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 001708)
Enumeration Date
2006-07-19
Last Update Date
2007-08-27
Business Address
Ms. THERESA FERNANDEZ PT
313 MACCORKLE AVE SW
CHARLESTON, WV 25303-1263
Phone number: 304-744-2300
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Mailing Address
Ms. THERESA FERNANDEZ PT
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5890
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