Individual
DENISE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
311 NE 8TH ST STE 104, HOMESTEAD, FL 33030-4734
(305) 248-8600
(844) 272-8151
Mailing address
12208 SW 251ST TER, HOMESTEAD, FL 33032-5925
(786) 302-7514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PTA30112
—
FL
Enumeration date
03/09/2020
Last updated
03/09/2020
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