Individual
MR. ALLAN ROQUE HERNANDEZ FRUELDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1004 PIMLICO DR, EAST NORRITON, PA 19403-3958
(417) 529-8027
Mailing address
1004 PIMLICO DR, EAST NORRITON, PA 19403-3958
(417) 529-8027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005012166
MO
225100000X
Physical Therapist
PT020108
PA
Other
Enumeration date
05/18/2007
Last updated
07/10/2011
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