Individual
MR. ANDRES RAFAEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
740 S PLACENTIA AVE, PLACENTIA, CA 92870-6832
(714) 646-8318
(714) 646-8320
Mailing address
PO BOX 1383, PLACENTIA, CA 92871-1383
(949) 573-6263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT655
CA
Other
Enumeration date
12/03/2009
Last updated
09/21/2021
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