DERITH FERNANDES

WAKEFIELD, MA
NPI1518352558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MA  21572)
Enumeration Date2015-04-06
Last Update Date2015-04-06
Business Address
-- DERITH FERNANDES DPT
414 MAIN ST
WAKEFIELD, MA 01880-3018
Phone number: 781-245-0055
Mailing Address
-- DERITH FERNANDES DPT
10 FREDRICKSON RD
BILLERICA, MA 01821-5313
Phone number: