Individual
KILEY L HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CHT
Contact information
Practice address
98 BANGOR ST STE A, HOULTON, ME 04730-1603
(207) 521-0200
(207) 521-0210
Mailing address
98 BANGOR ST STE A, HOULTON, ME 04730-1603
(207) 521-0200
(207) 521-0210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1426
ME
225XH1200X
Hand Occupational Therapist
OT1426
ME
Other
Enumeration date
09/13/2011
Last updated
05/16/2019
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