Individual
JENIFER HERNANDEZ
Active
Individual
JENIFER HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
339990
—
225X00000X
Occupational Therapist
Primary
22110
CA
225XP0200X
Pediatric Occupational Therapist
22110
CA
Other
Enumeration date
05/14/2021
Last updated
03/13/2026
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