Individual
MS. IRIS MYRTA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.ASSISTANT
Contact information
Practice address
90 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-2810
(973) 972-2815
Mailing address
90 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-2810
(973) 972-2815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00009200
NJ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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