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Edison Hernandez, PT

Physical Therapist in Oldsmar, FL. Individual provider (NPI-1).

NPI number1760670202
StatusActive
Last updated in NPPESOct 10, 2007

Details

NPI
1760670202
Entity type
Individual (NPI-1)
Name
Edison Hernandez
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 10, 2007
Last updated
Oct 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT 9050FLYes

Practice location

4774 Augusta Ave
Oldsmar, FL 34677-6304

Phone 727-798-6395

Mailing address

4774 Augusta Ave
Oldsmar, FL 34677-6304

Phone 727-798-6395

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