Individual
CECILY MONIQUE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4444 CORONA DR, CORPUS CHRISTI, TX 78411-4324
(361) 854-1110
Mailing address
4444 CORONA DR, CORPUS CHRISTI, TX 78411-4324
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
TX
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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