Individual
STEPHANIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 UNION AVE, PENNSAUKEN, NJ 08109-4909
(856) 313-1273
Mailing address
3820 UNION AVE, PENNSAUKEN, NJ 08109-4909
(856) 313-1273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00283400
NJ
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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