Individual
KASEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
108 WALTON PARK LN, MIDLOTHIAN, VA 23114-3028
(804) 560-9575
(804) 560-9557
Mailing address
108 WALTON PARK LN, MIDLOTHIAN, VA 23114-3028
(804) 560-9575
(804) 560-9557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206546
VA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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