Individual
GINA ISABEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7112 ED BLUESTEIN BLVD STE 100, AUSTIN, TX 78723-2913
(512) 583-9640
(512) 334-2325
Mailing address
9411 N LAMAR BLVD STE 120, AUSTIN, TX 78753-4179
(512) 583-9640
(512) 334-2325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120358
TX
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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