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Individual

MRS. SHELLEY HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
17045 EL CAMINO REAL, STE 106, HOUSTON, TX 77058-2649
(281) 480-5648
Mailing address
311 S SHADOWBEND AVE, FRIENDSWOOD, TX 77546-3842
(281) 482-6994

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
109352
TX

Other

Enumeration date
02/27/2007
Last updated
07/08/2007
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