Individual
ALEXANDER R HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(608) 252-2000
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8002-26
WI
225X00000X
Occupational Therapist
Primary
8041-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073243119
—
WI
Enumeration date
06/13/2022
Last updated
11/20/2023
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