Individual
LEAH A HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA I, COTA/L
Contact information
Practice address
1240 ARBOR RD, WINSTON SALEM, NC 27104-1106
(336) 724-7921
Mailing address
221 MITCHELL AVE, SALISBURY, NC 28144-6240
(704) 770-1665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12017
NC
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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