Individual
CASEY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18406 W WHITE QUEST DR, EAGLE MOUNTAIN, UT 84013-9701
(801) 335-4699
Mailing address
925 W 2100 N, LEHI, UT 84043-2860
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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