Individual
TERRI R HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
279 BUSINESS ROUTE 4, SUITE #1, CENTER RUTLAND, VT 05736-9701
(802) 775-4372
Mailing address
279 BUSINESS ROUTE 4, SUITE #1, CENTER RUTLAND, VT 05736-9701
(802) 775-4372
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
23110-1
NY
Other
Enumeration date
04/07/2012
Last updated
04/07/2012
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