SearchIdaho225100000X

Lisa Fernandez, P.T

NPI 1861538597 · on the registry since 2007 · sole proprietor

Practice

Address
1375 S Cotterell Way
Boise, ID 83709
Phone
(208) 378-9194

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
ID, VT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho