Individual
KELSEY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9414 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662-6109
(360) 892-5142
Mailing address
9414 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98662-6109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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