Individual
MRS. DEBRA L. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3918 PECAN GROVE RD, RUDY, AR 72952-9026
(479) 632-6337
(479) 632-5916
Mailing address
3918 PECAN GROVE RD, RUDY, AR 72952-9026
(479) 632-6337
(479) 632-5916
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR967
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149798721
—
AR
Enumeration date
01/23/2007
Last updated
06/13/2008
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