Individual
DANIELLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
924 S PRAIRIE RD, NEW LENOX, IL 60451-2248
(708) 218-1374
Mailing address
924 S PRAIRIE RD, NEW LENOX, IL 60451-2248
(708) 218-1374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015365
IL
Other
Enumeration date
08/01/2023
Last updated
07/03/2024
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