Individual
MRS. MARJORIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1900 W 68TH ST, I-406, HIALEAH, FL 33014-4474
(786) 597-1329
Mailing address
1900 W 68TH ST, I-406, HIALEAH, FL 33014-4474
(786) 597-1329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26598
FL
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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