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Individual
MAX HERNANDEZ
Active
Individual
MAX HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114396
TX
225X00000X
Occupational Therapist
Primary
22993
CA
Other
Enumeration date
04/20/2015
Last updated
10/02/2022
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