MR. Justin Richard Henderson
NPI #1053118257 in Michigan City, Indiana
Provider Information
- NPI Number
- 1053118257
- Entity Type
- Individual
- Name
- MR. Justin Richard Henderson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Feb 26, 2025
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 1101 E COOLSPRING AVE
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-6310
- Phone
- (219) 874-5211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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