Individual
KRYSTINA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SW 189TH AVE, PEMBROKE PINES, FL 33029-6052
(954) 643-0382
Mailing address
1001 SW 189TH AVE, PEMBROKE PINES, FL 33029-6052
(954) 643-0382
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225700000X
Massage Therapist
MA61486
FL
225X00000X
Occupational Therapist
Primary
OT16659
FL
225XE0001X
Environmental Modification Occupational Therapist
OT16659
FL
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT16659
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT16659
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT16659
FL
225XP0200X
Pediatric Occupational Therapist
OT16659
FL
Other
Enumeration date
12/01/2016
Last updated
02/17/2017
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