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1235348624
LISA FERNEZ
WEST HAVEN, CT
NPI
1235348624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 000642)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- LISA FERNEZ PTA
1 CARE LN
WEST HAVEN, CT 06516-2601
Phone number: 203-934-7955
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Mailing Address
-- LISA FERNEZ PTA
28 FILBERT ST
HAMDEN, CT 06517-1312
Phone number: 203-248-3609
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