Individual
WENDY MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
5927 SPURWOOD DR, COLORADO SPRINGS, CO 80918-8102
(719) 629-6796
Mailing address
4722 N BLAZINGSTAR TRL, CASTLE ROCK, CO 80109-9400
(719) 964-6461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0002159
CO
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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