Doctor Name: | MRS. EMMA HERNANDEZ TENERIFE |
NPI Number: | 1801131610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT4218 |
Business Practice Address: | 505 Buchanan Road New Tazewell, TN - 37825 |
Business Phone Number: | 4236268215 |
Business Fax Number: | |
Mailing Address: | 4639 Oak Meadow Way, KNOXVILLE |
State: | TN |
Postal Code: | 379189476 |
Phone Number: | 8659223645 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2012 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT4218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |