Victor Hernandez, | |
1301 Fortino Blvd, Pueblo, CO 81008-2032 | |
(719) 597-0822 | |
Not Available |
Full Name | Victor Hernandez |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1301 Fortino Blvd, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437820180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Action Potential Rllp |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1699939850 PECOS PAC ID: 7719976703 Enrollment ID: O20081118000471 |
Mailing Address | Practice Location Address |
---|---|
Victor Hernandez, 5117 Ingomar Way, Houston, TX 77053-3320 Ph: (713) 245-9797 | Victor Hernandez, 1301 Fortino Blvd, Pueblo, CO 81008-2032 Ph: (719) 597-0822 |
Amy Simpson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1321 S Prairie Ave, Pueblo, CO 81005 Phone: 719-569-4411 | |
Sarah Elyse Mcdonald, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 San Carlos Rd, Pueblo, CO 81005 Phone: 719-568-9536 | |
Courtney Lynn Pool, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-543-6325 | |
Jasmin Phillips, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Eagleridge Pl Ste 140, Pueblo, CO 81008 Phone: 719-253-7727 | |
Kathy Ann Young, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4112 Outlook Blvd, #96, Pueblo, CO 81008 Phone: 719-562-6200 Fax: 719-562-6225 | |
Ellen L. Cornett, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4409 | |
Regina Stephan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4776 Eagleridge Circle, Va Eastern Colorado Health Care System, Pueblo, CO 81008 Phone: 719-250-5011 Fax: 719-584-5496 |