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Contact Information

MYRNA M FERNANDEZ, PTA
BACHARACH INSTITUTE
61 WEST JIM LEEDS RD
POMONA, NJ08240
 Phone: 609-652-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MYRNA M FERNANDEZ · (Female)

NPI Number 1508072422
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 05/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 40QB00075600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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