Manicar Domantay Fernandez, PT

NPI #1477750396 in Mishawaka, Indiana

Provider Information

NPI Number
1477750396
Entity Type
Individual
Name
Manicar Domantay Fernandez, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jul 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
530 TANGLEWOOD LN
State
Indiana
ZIP Code
46545-2627
Phone
(610) 991-2034

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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