Individual provider · Type 1 NPI

Kim Elaine Hernandez, PTA

Physical Therapy Assistant · San Diego, CA

NPI number 1396089959 Active

Practice location

18655 W Bernardo Dr
San Diego, CA 92127-3002

Mailing address

18216 Mirasol Dr
San Diego, CA 92128-1226

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT2323 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1396089959

Kim Elaine Hernandez, PTA's National Provider Identifier is 1396089959, issued on Nov 20, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Nov 20, 2012.