Individual
HOLLY HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12021 WILMINGTON AVE BLDG 18, LOS ANGELES, CA 90059-3019
(626) 644-0084
(626) 644-0084
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(424) 444-9050
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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