Individual
MRS. BEVERLY RUTH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9449 IMPERIAL HWY, PM&R GARDEN 3RD FLOOR, DOWNEY, CA 90242-2814
(562) 657-4746
Mailing address
12952 MEADOW GREEN RD, LA MIRADA, CA 90638-2627
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17403
CA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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