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Individual
JACQUELINE A HENDERSON
Active
Individual
JACQUELINE A HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033159
NY
Other
Enumeration date
08/19/2008
Last updated
11/10/2015
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