Individual
JADE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13215 RAMPART ST, AUSTIN, TX 78727-3255
(512) 913-7766
Mailing address
13215 RAMPART ST, AUSTIN, TX 78727-3255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125132
TX
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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