Individual
EMMANUEL HERNANDEZ LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3310 WARREN RD, CLEVELAND, OH 44111-2031
(216) 476-1700
Mailing address
30123 JACKSON AVE, WICKLIFFE, OH 44092-1223
(440) 364-6479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07718
OH
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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