Individual
BRENDA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1061 VIRGINIA ST, DUNEDIN, FL 34698-7326
(727) 733-4189
Mailing address
1136 SOMERSET CIR S, DUNEDIN, FL 34698-8237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20911
FL
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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