Individual
LAURIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
305 GRISTMILL DR, FOREST, VA 24551-2627
(434) 385-1074
(434) 385-1342
Mailing address
305 GRISTMILL DR, FOREST, VA 24551-2627
(434) 385-1074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003064
VA
Other
Enumeration date
05/02/2017
Last updated
05/20/2022
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