Individual
MRS. MELISSA COSENTINO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
9101 MIDLOTHIAN TPKE, RICHMOND, VA 23235-5022
(804) 272-9192
(804) 272-9257
Mailing address
9101 MIDLOTHIAN TPKE, RICHMOND, VA 23235-5022
(804) 272-9192
(804) 272-9257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001514
VA
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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