Individual
VICTOR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 597-0822
Mailing address
5117 INGOMAR WAY, HOUSTON, TX 77053-3320
(713) 245-9797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
01/27/2025
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