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Individual

COLLIN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9511 CREEKVIEW DR, BATON ROUGE, LA 70836-6459
(877) 407-3422
(877) 407-4329
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
(877) 407-4329

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
324205
LA

Other

Enumeration date
12/09/2022
Last updated
02/07/2023
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