Individual
MS. PEARL MARIE HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10757 RANDOLPH ST, CROWN POINT, IN 46307-7615
(219) 661-8161
(219) 661-9162
Mailing address
7605 HENDRICKS ST, MERRILLVILLE, IN 46410-4480
(219) 661-8160
(219) 661-9162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001582A
IN
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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