Individual
HEIDI HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2100 UTZ TER, HANOVER, PA 17331-9479
(717) 630-1003
Mailing address
736 SPOTTERS CT, HAMPSTEAD, MD 21074-3166
(410) 239-4706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006964L
PA
Other
Enumeration date
12/30/2007
Last updated
12/30/2007
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