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Individual

GERONIMO HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6336 CEDAR LN, COLUMBIA, MD 21044-3897
(410) 531-6000
Mailing address
8363 SILVER TRUMPET DR, COLUMBIA, MD 21045-5624

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6250
MD
225200000X
Physical Therapy Assistant
Primary
MD

Other

Enumeration date
06/24/2026
Last updated
07/28/2026
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