Individual
BRETT E HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 GROSSMONT CENTER DR, LA MESA, CA 91942-3016
(619) 588-0098
Mailing address
PO BOX 12262, EL CAJON, CA 92022-2262
(619) 772-6450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
G36137
CA
Other
Enumeration date
03/23/2013
Last updated
03/23/2013
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