Individual
MRS. CAROLYN LEA HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1133 ROUSH RD, LIMA, OH 45801-3825
(419) 303-8684
Mailing address
1133 ROUSH RD, LIMA, OH 45801-3825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02647
OH
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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