Individual
KRISTEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M OTR/L
Contact information
Practice address
3120 4TH AVE NW, MINOT, ND 58703-2811
(701) 509-5610
Mailing address
3120 4TH AVE NW, MINOT, ND 58703-2811
(701) 509-5610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1934
ND
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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