Individual
AMANDA CRISTINA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14400 LURAY RD, SOUTHWEST RANCHES, FL 33330-3420
(786) 431-8396
Mailing address
14400 LURAY RD, SOUTHWEST RANCHES, FL 33330-3420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4018
CA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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