Mary H Henderson, PTA

NPI #1881793388 in Brainerd, Minnesota

Provider Information

NPI Number
1881793388
Entity Type
Individual
Name
Mary H Henderson, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 21, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
224 N 5TH ST
ZIP Code
56401-3348
Phone
(218) 829-4231

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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