Individual
ALEXA GABRIELLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 265-1170
Mailing address
1811 SE OAK ST, OAK GROVE, MO 64075-9421
(816) 695-1335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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