Individual
KRISTY LYNNE HENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
520 BECKETT RD, SUITE 200, LOGAN TOWNSHIP, NJ 08085-1732
(856) 467-3421
(856) 467-5731
Mailing address
520 BECKETT RD, SUITE 200, LOGAN TOWNSHIP, NJ 08085-1732
(856) 467-3421
(856) 467-5731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00774000
NJ
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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