Individual
SAMANTHA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W COLLIN RAYE DR SPC 106, DE QUEEN, AR 71832-2007
(870) 584-1085
(870) 584-1095
Mailing address
300 W COLLIN RAYE DR SPC 106, DE QUEEN, AR 71832-2007
(870) 584-1085
(870) 584-1095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4811
AR
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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