Individual
MRS. LYDIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
10515 GULFDALE, SAN ANTONIO, TX 78216-3667
(210) 340-2627
(210) 340-6437
Mailing address
259 MENLO BLVD, SAN ANTONIO, TX 78223-1937
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
113059
TX
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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