Individual
BRIAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3945 E PARADISE FALLS DR, SUITE 109, TUCSON, AZ 85712-6683
(520) 321-0204
Mailing address
3945 E PARADISE FALLS DR, SUITE 109, TUCSON, AZ 85712-6683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0013482
CO
Other
Enumeration date
08/11/2015
Last updated
09/13/2016
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