Individual
ELLIOT HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6278 BEACH DR SW STE 114, OCEAN ISLE BEACH, NC 28469-3670
(910) 579-3900
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11885
SC
225100000X
Physical Therapist
Primary
P22361
NC
Other
Enumeration date
06/30/2023
Last updated
03/05/2025
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