Most Relevant Information
Provider Data
| NPI Number: | 1003588534 |
| Provider Name: | GILBERT FERNANDEZ PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | AT8677 |
Most Important Dates
| Enumeration Date: | 10/04/2021 |
| Last Updated: | 10/04/2021 |
Provider Practice Location
119 FLORES LN
VISTA
CA
920831905
Practice Location Phone/Fax
| Phone: | 7608896006 |
| Fax: | 7602954455 |
Provider Mailing Location
119 FLORES LN
VISTA
CA
920831905
Provider Mailing Phone/Fax
| Phone: | 7608896006 |
| Fax: | 7602954455 |