Individual
KARYN R HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
136 EAGLE POINT DR, ROCKWOOD, TN 37854-5630
(865) 310-3013
(865) 310-3013
Mailing address
136 EAGLE POINT DR, PO BOX 806, ROCKWOOD, TN 37854-5630
(865) 310-3013
(865) 310-3013
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 2516
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510130
—
TN
01
—
4004744
BLUECROSS BLUESHIELD
TN
01
—
4215086
BLUE CROSS/BLUE SHIELD
TN
05
—
5440743
—
TN
Enumeration date
07/07/2006
Last updated
04/28/2009
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