Individual
MRS. CYNTHIA LEIGH HENDERSON
Active
Individual
MRS. CYNTHIA LEIGH HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004017
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009402438
—
VA
01
—
086671
ANTHEM
VA
01
—
228477
MAMSI
VA
01
—
453191
ANTHEM-PEARISBURG OFFICE
VA
01
—
5288134
AENTA
VA
Enumeration date
10/11/2005
Last updated
07/23/2010
Update your record
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