DANIEL NATHAN HERNANDEZ

MOUNTAIN HOME AFB, ID
NPI1750973616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251S0007X Physical Therapist, Sports
(Licence: ID  1571196)
Enumeration Date2021-02-10
Last Update Date2026-01-29
Business Address
DANIEL NATHAN HERNANDEZ PT, DPT, SCS
725 ALPINE ST BLDG 210
MOUNTAIN HOME AFB, ID 83648-5405
Phone number: 254-699-3933
Mailing Address
DANIEL NATHAN HERNANDEZ PT, DPT, SCS
133 MAGNOLIA AVE SE
FORT WALTON BEACH, FL 32548-7266
Phone number: 850-739-4936