Individual
MS. SANDRA CLAUDETTE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1900 ONEAL ST, GAINESVILLE, TX 76240-3604
(940) 665-2826
Mailing address
368 WISTERIA ST, LONE GROVE, OK 73443-6518
(580) 221-7680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211073
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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