Individual
MRS. PATRICIA ELLEN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3442 AMBER CT, BOWLING GREEN, KY 42104-0823
(270) 393-4513
Mailing address
3442 AMBER CT, BOWLING GREEN, KY 42104-0823
(270) 393-4513
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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