Individual
MRS. KATHLEEN ANTOINETTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
440 HIGHWAY 59 LOOP S, LIVINGSTON, TX 77351-9096
(936) 328-8148
Mailing address
440 HIGHWAY 59 LOOP S, LIVINGSTON, TX 77351-9096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117938
TX
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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