Individual
DONNA L HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9241 WINCHESTER BLVD, QUEENS VILLAGE, NY 11428-1871
(917) 415-1003
Mailing address
9241 WINCHESTER BLVD, QUEENS VILLAGE, NY 11428-1871
(917) 415-1003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9311-1
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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