Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 20780 | CA |
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1225677107 |
---|---|
Provider Name | Vhernna Fernandez |
First Address | Sacramento, CA 95835-2305 |
Second Address | Sacramento, CA 95815-4035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/12/2019 |
Last Update Date | 02/03/2020 |