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Individual

TWANETTHA HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1203 E 22ND AVE, TAMPA, FL 33605-1719
(813) 229-6901
Mailing address
3212 LITTLE RD, VALRICO, FL 33596-6041
(813) 240-4722

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5095
FL

Other

Enumeration date
01/28/2020
Last updated
01/28/2020
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