Individual
JENNIFER J HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 E SEMORAN BLVD, APOPKA, FL 32703-6062
(407) 862-8683
Mailing address
2038 INGE CT, APOPKA, FL 32703-1551
(321) 239-7025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21279
FL
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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