Individual
MR. ELVIS ANTONIO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2529 BROADWAY, ASTORIA, NY 11106-3413
(301) 433-1195
Mailing address
12810 HOLDRIDGE RD, SILVER SPRING, MD 20906-4032
(301) 433-1195
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07917
MD
Other
Enumeration date
04/27/2016
Last updated
03/16/2025
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