Larry Coomer Hernandez, PTA

NPI #1760283345 in Fort Mohave, Arizona

Provider Information

NPI Number: 1760283345
Entity Type: Individual
Name: Larry Coomer Hernandez, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 20, 2025
Last Updated: Mar 20, 2025

Practice Location

Address: 5330 S HIGHWAY 95
City: Fort Mohave
State: Arizona
ZIP Code: 86426-9225
Phone: (928) 788-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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