Drew Henneberg

NPI #1992129647 in Bloomington, Illinois

Provider Information

NPI Number: 1992129647
Entity Type: Individual
Name: Drew Henneberg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 14, 2014
Last Updated: Feb 14, 2014

Practice Location

Address: 135 N WILLIAMSBURG DR
City: Bloomington
State: Illinois
ZIP Code: 61704-3528
Phone: (309) 661-8823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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