Individual
ELY ANDREA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
401 E ILLINOIS AVE, MIDLAND, TX 79701-4803
(844) 420-3964
Mailing address
703 MINUTEMAN, MIDLAND, TX 79706-1701
(325) 899-9147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119718
TX
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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