Individual
LETICIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
985 NW 91ST ST, MIAMI, FL 33150-2350
(305) 835-9006
Mailing address
2345 NE 135TH LN, NORTH MIAMI BEACH, FL 33181-1845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PTA28281
—
FL
Enumeration date
04/18/2019
Last updated
04/18/2019
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