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Individual
CORNELIUS HENDERSON
Active
Individual
CORNELIUS HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1301027
TX
225200000X
Physical Therapy Assistant
PTA3890
MS
Other
Enumeration date
11/06/2007
Last updated
03/09/2023
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