Individual
MARIANA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SE 28TH ST, BENTONVILLE, AR 72712-3988
(479) 657-6272
Mailing address
2174 LAKESIDE AVE, SPRINGDALE, AR 72764-7211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4884
AR
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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