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Individual

LINDSEY HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
217 S HOFSTETTER ST, COLVILLE, WA 99114-3239
(509) 684-7850
Mailing address
2876 DEEP LAKE LOPPS RD, COLVILLE, WA 99114-9311
(509) 844-8578

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
214696
TX
225XP0200X
Pediatric Occupational Therapist
122518
TX
225XP0200X
Pediatric Occupational Therapist
Primary
OT61447348
WA

Other

Enumeration date
09/10/2018
Last updated
04/23/2024
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