Angie R Hernandez, OTR/L
Individual provider Active NPI Occupational Therapist · Sugar Hill, GA
NPI 1477857134 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1477857134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT004533 (GA)
- Practice address
- 569 Emerald Lake LN
Sugar Hill, GA 30518-5600 - Phone
- (678) 765-2920
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT004533 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004533 | GA | Yes |
Addresses
Primary practice location
569 Emerald Lake LN
Sugar Hill, GA 30518-5600
Mailing address
569 Emerald Lake Lane
Sugar Hill, GA 30518
Other providers in Sugar Hill, GA
- Giulliana Guevara
- Angelina M Guzman
- Gwinnett Family Physicians
- Happy Care
- Health Choice Urgent Care, LLC
- Kimberly Kathleen Hill
- Carrie K Hilton
- Tracy Huffman
- Impulse Physical Therapy LLC
- Integrated Healthcare Center of Sugar Hill LLC
All providers in Sugar Hill, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.