Individual
JORGE ELIAS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1326 CRUTCHER ST, SPRINGDALE, AR 72764-6482
(479) 640-5518
Mailing address
571 BROOKE ST, TONTITOWN, AR 72762-4382
(479) 287-8118
(479) 342-2876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4840
AR
Other
Enumeration date
09/14/2020
Last updated
10/12/2023
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