| Doctor Name: | RAMON ANTONIO L FERNANDEZ |
| NPI Number: | 1356668875 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 05006455A |
| Business Practice Address: | 51738 Sagecrest Dr Granger, IN - 465306887 |
| Business Phone Number: | 5743395959 |
| Business Fax Number: | |
| Mailing Address: | 3371 Cleveland Road Ext, Suite 210 SOUTH BEND |
| State: | IN |
| Postal Code: | 466289780 |
| Phone Number: | 5742712558 |
| Fax Number: | 5742731137 |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05006455A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |