Daniel Ralph Henderson, PT

NPI #1740675677 in Louisville, Mississippi

Provider Information

NPI Number
1740675677
Entity Type
Individual
Name
Daniel Ralph Henderson, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Mar 28, 2015
Last Updated
Jan 26, 2017

Practice Location

Address
110 N WALMART DR
Address 2
SUITE F
ZIP Code
39339-5905
Phone
(662) 779-1096

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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