Individual
BERNADETTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1855 COCHRAN ST STE 109, SIMI VALLEY, CA 93065-2263
(805) 526-2311
(805) 526-6608
Mailing address
5720 RALSTON ST STE 200, VENTURA, CA 93003-7844
(805) 804-4168
(805) 830-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 23180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23180
STATE LICENSE
CA
Enumeration date
05/09/2006
Last updated
10/01/2022
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