Individual
STEPHANY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
454 NW 22ND AVE STE 108, MIAMI, FL 33125-3355
(305) 890-9691
Mailing address
5750 NW 113TH PL, DORAL, FL 33178-3860
(786) 580-8054
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10122752
FL
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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