Individual
ALI HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1491 SHERIDAN DR STE 300, KENMORE, NY 14217-1234
(716) 871-1100
Mailing address
1491 SHERIDAN DR STE 300, KENMORE, NY 14217-1234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009712
NY
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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