Individual
DR. EMMANUEL HERNANDEZ ANIAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
855 HUNTER DR, PUEBLO, CO 81001-1867
(715) 253-3743
Mailing address
2221 SHORTHORN DRIVE, PUEBLO, CO 81008-2800
(715) 253-3743
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTL0009246
CO
Other
Enumeration date
08/24/2018
Last updated
01/04/2022
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