Provider Demographics
NPI:1306934377
Name:HERNANDEZ, KATHRYN ANNE (DPT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANNE
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:10521 PATUXENT RIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5719
Mailing Address - Country:US
Mailing Address - Phone:301-725-1961
Mailing Address - Fax:
Practice Address - Street 1:10700 CHARTER DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3629
Practice Address - Country:US
Practice Address - Phone:410-910-2351
Practice Address - Fax:410-910-2353
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2013-05-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic