Individual
ALEXIS H. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 982-2208
(540) 982-7637
Mailing address
1680 BRUNSWICK DR, BLACKSBURG, VA 24060-1986
(276) 340-9826
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007336
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119007336
LICENSE
VA
Enumeration date
08/15/2017
Last updated
07/24/2025
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