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Individual

ALYSIA FRANCES HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
7675 BALTIMORE AVENUE, RITCHIE COLISEUM 0100, COLLEGE PARK, MD 21144
(301) 226-4440
Mailing address
7675 BALTIMORE AVENUE, RITCHIE COLISEUM 0100, COLLEGE PARK, MD 20740
(301) 226-4440

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000617
MD

Other

Enumeration date
05/01/2020
Last updated
05/01/2020
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