Individual
ALEXANDER SALVADOR HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
15860 SW 138TH PL, MIAMI, FL 33177-1227
(786) 267-5704
Mailing address
15860 SW 138TH PL, MIAMI, FL 33177-1227
(786) 267-5704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14462
FL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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