Individual
KRISTIN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 MOOSENECK RD, ADDISON, ME 04606-3549
(571) 296-9066
Mailing address
425 MOOSENECK RD, ADDISON, ME 04606-3549
(571) 296-9066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4462
ME
Other
Enumeration date
06/02/2015
Last updated
04/02/2020
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