Individual
MS. ANGIE R HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
569 EMERALD LAKE LN, SUGAR HILL, GA 30518-5600
(678) 765-2920
Mailing address
569 EMERALD LAKE LANE, SUGAR HILL, GA 30518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004533
GA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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