Individual
RACHELLE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1004 SE 5TH ST, BENTONVILLE, AR 72712-6032
(479) 254-6717
Mailing address
10960 CRESTWOOD WAY, MOUNTAINBURG, AR 72946-2948
(479) 430-3355
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA4071
AR
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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