Tabitha Lynette Henninger

NPI #1730983537 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1730983537
Entity Type
Individual
Name
Tabitha Lynette Henninger
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 2, 2025
Last Updated
Jul 8, 2025

Practice Location

Address
2548 E KENOSHA ST
ZIP Code
74014-6712
Phone
(918) 355-0993

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

Additional Practice Locations

1721 S Pecan Ave

Broken Arrow, OK, 74012-5234

(918) 693-1501

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