Individual
LISA RENEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTD
Contact information
Practice address
12540 BANDERA RD STE 303, HELOTES, TX 78023-4737
(210) 858-5001
Mailing address
8120 MAINLAND DR APT 715, SAN ANTONIO, TX 78240-3740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122980
TX
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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