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1336859628
SAMANTHA HERNANDEZ
PLAINFIELD, IL
NPI
1336859628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056015001)
Enumeration Date
2022-11-29
Last Update Date
2023-10-26
Business Address
SAMANTHA HERNANDEZ OTD
11914 ILLINOIS RTE 59 SUITE 134
PLAINFIELD, IL 60585
Phone number: 815-469-1500
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Mailing Address
SAMANTHA HERNANDEZ OTD
427 BLUEBELL DR
BOLINGBROOK, IL 60440-5601
Phone number: 630-487-1103
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