Individual
MARIA E. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1224 8TH ST, SUITE A, RUPERT, ID 83350-1527
(208) 436-9016
(208) 436-4922
Mailing address
15 E 100 S, RUPERT, ID 83350-9728
(208) 436-0574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-768
ID
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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