Individual
SHANA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RIVERFRONT PL STE 615, NORTH LITTLE ROCK, AR 72114-5650
(501) 725-0379
Mailing address
1701 W PINE ST, WARREN, AR 71671-1805
(870) 820-7720
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4845
AR
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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