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Individual

ADRIENNE A HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1346 E GREEN BAY ST, SHAWANO, WI 54166-2210
(715) 526-6244
(715) 526-2328
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14420-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100082289
WI
Enumeration date
09/13/2018
Last updated
10/08/2024
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