Individual
BRENDA WAGNER HENOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1000 MCKENZIE AVE STE 15, BELLINGHAM, WA 98225-7003
(360) 752-2673
Mailing address
1000 MCKENZIE AVE STE 15, BELLINGHAM, WA 98225-7003
(360) 752-2673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006557
WA
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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