Individual
ANDREA HENNEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9706 STONEY GLEN DR APT L, MINT HILL, NC 28227
(814) 823-3257
Mailing address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6231
NC
Other
Enumeration date
01/10/2017
Last updated
08/29/2018
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