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Individual

MRS. RENEE L HENSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
411 E IRELAND RD, STE 400, SOUTH BEND, IN 46614-2680
(574) 231-8950
(574) 231-8955
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05003014A
IN

Other

Enumeration date
08/03/2006
Last updated
09/24/2012
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