Individual
DEANNA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10133 N 92ND ST, STE. 101, SCOTTSDALE, AZ 85258-4556
(480) 584-3334
Mailing address
16804 N 42ND AVE, #114, PHOENIX, AZ 85053-2779
(623) 810-2713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11216APTA
AZ
Other
Enumeration date
12/23/2014
Last updated
07/25/2016
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