Lydia Mae Hernandez PTA

NPI 1730514761 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1730514761
Gender Female
Enumeration Date 09/10/2013
Last Updated 09/10/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2400 SKYLINE BLVD
APT G4
PACIFICA CA, 94044, US
Phone (415) 336-4618
Fax
Business Location
2400 SKYLINE BLVD
APT G4
PACIFICA CA, 94044, US
Phone (415) 336-4618
Fax
Toxanomy
Taxonomy Code 225200000X
License State California
License Number AT6500
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According to our database, Lydia Mae Hernandez PTA NPI is 1730514761, taxonomy code is 225200000X and license number is AT6500, license state is located at California. Lydia Mae Hernandez PTA physically located at 2400 Skyline Blvd, Pacifica CA, 94044. NPI Number Lydia Mae Hernandez PTA has the Individual type.

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1730514761 NPI number is provided on an as is basis without warranty of any kind. 1730514761 is maintained by the National Plan & Provider Enumeration System. The contents of Lydia Mae Hernandez PTA are for informational purposes only.