Individual
JOSE A ALBA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3050 CENTRE POINTE DR STE 200, ROSEVILLE, MN 55113-1179
(651) 631-4242
Mailing address
3050 CENTRE POINTE DR STE 200, ROSEVILLE, MN 55113-1179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9514
MN
Other
Enumeration date
07/22/2014
Last updated
07/30/2014
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