Individual
JESSICA KRISTIN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6320 N LA CHOLLA BLVD STE 200, TUCSON, AZ 85741-3549
(520) 382-8200
(520) 297-3505
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013929
AZ
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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