Kelly Henderson
NPI #1861250060 in South Boston, Virginia
Provider Information
- NPI Number
- 1861250060
- Entity Type
- Individual
- Name
- Kelly Henderson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Mar 12, 2024
- Last Updated
- Mar 12, 2024
Practice Location
- Address
- 1209 WADDELL LN
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-6263
- Phone
- (434) 470-4114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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