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1518352558
DERITH FERNANDES
WAKEFIELD, MA
NPI
1518352558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 21572)
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- DERITH FERNANDES DPT
414 MAIN ST
WAKEFIELD, MA 01880-3018
Phone number: 781-245-0055
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Mailing Address
-- DERITH FERNANDES DPT
10 FREDRICKSON RD
BILLERICA, MA 01821-5313
Phone number:
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