Carl Henry Fernandez

NPI #1023360484 in Madison, Wisconsin

Provider Information

NPI Number: 1023360484
Entity Type: Individual
Name: Carl Henry Fernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 10, 2012
Last Updated: Oct 10, 2012

Practice Location

Address: 202 S PARK ST
City: Madison
State: Wisconsin
ZIP Code: 53715-1507
Phone: (608) 417-6171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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