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Vida B Hernandez, otrl, ad sw mod

Occupational Therapist in Woodland Hills, CA. Individual provider (NPI-1).

NPI number1801012000
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1801012000
Entity type
Individual (NPI-1)
Name
Ms. Vida B Hernandez
Credential
otrl, ad sw mod
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistAA095141CAYes

Practice location

5601 De Soto Ave
Ot Department
Woodland Hills, CA 91367-6701

Phone 818-719-2949

Mailing address

9246 Aldea Ave
Northridge, CA 91325-2515

Phone 818-618-3277

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