Individual
SARAH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3452
(508) 334-7284
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8643
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/27/2021
Last updated
10/17/2022
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