Individual
HECTOR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1002 WESTPARK DR STE 6, BENTONVILLE, AR 72712-4283
(479) 250-4014
Mailing address
100 DOBSON ST., PEA RIDGE, AR 72751
(575) 932-8321
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4817
AR
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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