Individual
EDWARD HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2024 W HIGHLAND AVE, PHOENIX, AZ 85015-3743
(602) 796-4631
Mailing address
2024 W HIGHLAND AVE, PHOENIX, AZ 85015-3743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10434
AZ
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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