Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH FERNANDEZ
Active Sole ProprietorMR. KENNETH FERNANDEZ is a Occupational Therapy Assistant healthcare provider located in LINCOLN PARK, New Jersey. NPI 1063877207 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LINCOLN PARK, NJ
Registration Details
- NPI Number
- 1063877207
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2015 (10.623468870447 yrs)
- Last Updated
- Dec 15, 2015
- License
-
46TA09114900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
209 COMLY RDM13LINCOLN PARK, NJ, 07035Browse NJ providers · Browse ZIP 07035
- Phone
- 9735722940
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LINCOLN PARK, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. MATTHEW GALITZ | COTA/L | 1649403411 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.