Tanika Ashee' Henderson, O&P TECH

NPI #1164677456 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1164677456
Entity Type: Individual
Name: Tanika Ashee' Henderson, O&P TECH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Credential: O&P TECH
Enumeration Date: Dec 1, 2008
Last Updated: Dec 1, 2008

Practice Location

Address: 921 NE 13TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73104-5007
Phone: (405) 456-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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