Individual
CORNELIUS HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
1944 KATY FORT BEND RD APT 5106, KATY, TX 77493-4797
(281) 900-9430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1301027
TX
225200000X
Physical Therapy Assistant
PTA3890
MS
Other
Enumeration date
11/06/2007
Last updated
03/09/2023
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