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Individual
CAROLINE HENDERSON
Active
Individual
CAROLINE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5965
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118983
TEXAS BOARD OF OCCUPATIONAL THERAPY PRACTITIONERS
TX
01
—
397011
NATIONAL BOARD OF OCCUPATIONAL THERAPY
—
01
—
5965
SOUTH CAROLINE BOARD OF OCCUPATIONAL THERAPY
SC
Enumeration date
06/06/2021
Last updated
06/06/2021
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