Individual
ORVILLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
629 BELMONT ST, COATESVILLE, PA 19320-3608
(610) 762-1702
Mailing address
629 BELMONT ST, COATESVILLE, PA 19320-3608
(610) 762-1702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000405
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/29/2016
Last updated
09/08/2023
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