Individual
LYNDA MELISSA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 COLLEGE AVE, OTTAWA, IL 61350-3858
(815) 434-1130
Mailing address
529 ADAMS ST, OTTAWA, IL 61350-3801
(815) 210-2398
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009569
IL
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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