Individual
MS. KHAMRYN JEANETTE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 W E ST, BELLEVILLE, IL 62220-1055
(618) 233-2095
Mailing address
2640 CRIMSON VIEW DR, SHILOH, IL 62221-3491
(618) 960-1526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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