Individual
DANIELLE M HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 W GROVE PKWY APT 1096, TEMPE, AZ 85283-4548
(408) 625-9208
Mailing address
40976 N VINE AVE, SAN TAN VALLEY, AZ 85140-5412
(408) 625-9208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31951
AZ
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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