Individual
JENNA JO HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 GRAND POINTE CT, GRAND BLANC, MI 48439-5502
(810) 695-8920
Mailing address
3006 MURRAY ST, GRAND BLANC, MI 48439-9386
(810) 887-9133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202009887
MI
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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