Edison Hernandez, PT

NPI #1760670202 in Oldsmar, Florida

Provider Information

NPI Number: 1760670202
Entity Type: Individual
Name: Edison Hernandez, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 10, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 4774 AUGUSTA AVE
City: Oldsmar
State: Florida
ZIP Code: 34677-6304
Phone: (727) 798-6395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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