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NPI Code Detail

MEDICARE: CYNTHIA COVIAN-HERNANDEZ P.T.

MEDICARE:   CYNTHIA  COVIAN-HERNANDEZ  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070012191IL

General Provider Information

NPI Number : 1013192129
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA COVIAN-HERNANDEZ P.T.
Provider Business Mailing Address
First Line : 938 W 15TH PL
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1841
Country : US
Telephone Number : 312-668-0084
Fax Number :
Provider Business Practice Location Address
First Line : 938 W 15TH PL
Second Line :
City : CHICAGO
State : IL
Zip : 60608-1841
Country : US
Telephone Number : 312-668-0084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2008
Last Update Date : 05/11/2021

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Directions to “ CYNTHIA COVIAN-HERNANDEZ P.T.” Practice Location

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