Individual
NANCY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 E BROWN RD, MESA, AZ 85213-5430
(602) 875-5608
Mailing address
554 S BAHAMA DR, GILBERT, AZ 85296-2621
(661) 912-5634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009550
AZ
225XP0200X
Pediatric Occupational Therapist
OTH-009550
AZ
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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