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Individual

PAULA ANDREA HERNANDEZ ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
863 N MAIN STREET EXT STE 200, WALLINGFORD, CT 06492-2434
(203) 265-3280
(203) 741-6569
Mailing address
863 N MAIN STREET EXT STE 200, WALLINGFORD, CT 06492-2434
(203) 265-3280
(203) 741-6569

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12795
CT

Other

Enumeration date
09/22/2020
Last updated
10/29/2020
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