Individual
JEAN MARIE MCHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
51681 HUNTINGTON RD, LA PINE, OR 97739-9626
(541) 536-6122
(541) 536-6123
Mailing address
PO BOX 1888, LA PINE, OR 97739-1888
(541) 536-6122
(541) 536-6123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1428
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024385
—
OR
05
—
24385
—
OR
Enumeration date
12/13/2005
Last updated
03/17/2011
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