Individual
MRS. JACQUELYN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5224 E UNIVERSITY DR STE A, EDINBURG, TX 78542-7768
(956) 890-3713
Mailing address
5224 E UNIVERSITY DR STE A, EDINBURG, TX 78542-7768
(956) 890-3713
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
02/21/2020
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