Individual
MISS AMANDA CATHERINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2217 DECATUR HWY, SUITE 123, GARDENDALE, AL 35071-2301
(205) 418-1200
(205) 418-1210
Mailing address
2217 DECATUR HWY, SUITE 123, GARDENDALE, AL 35071-2301
(205) 418-1200
(205) 418-1210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4168
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009967425
—
AL
01
—
6410036
UNITED HEALTHCARE
AL
Enumeration date
05/26/2006
Last updated
05/07/2014
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