Angie R Hernandez, OTR/L
Occupational Therapist in Sugar Hill, GA. Individual provider (NPI-1).
NPI number1477857134
StatusActive
Last updated in NPPESJan 10, 2011
Details
- NPI
- 1477857134
- Entity type
- Individual (NPI-1)
- Name
- Ms. Angie R Hernandez
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 10, 2011
- Last updated
- Jan 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | ot004533 | GA | Yes |
Practice location
569 Emerald Lake LnSugar Hill, GA 30518-5600
Phone 678-765-2920
Mailing address
569 Emerald Lake LaneSugar Hill, GA 30518
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