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Individual

STEPHANIE HENSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7423 ADAIRSVILLE HWY, ADAIRSVILLE, GA 30103-2014
(770) 773-9315
(770) 773-9317
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 236-2783

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002903
GA

Other

Enumeration date
05/29/2014
Last updated
05/29/2014
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