Individual
MRS. MICHELE MOTRIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
102 N JEFFERSON AVE, WENONAH, NJ 08090-1726
(609) 634-3588
Mailing address
102 N JEFFERSON AVE, WENONAH, NJ 08090-1726
(609) 634-3588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00164000
NJ
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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