Individual
ANDREW HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1851 ELKCAM BLVD, DELTONA, FL 32725-3922
(706) 888-4647
Mailing address
1851 ELKCAM BLVD, DELTONA, FL 32725-3922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26896
FL
Other
Enumeration date
05/28/2019
Last updated
02/02/2021
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