Individual
MRS. CONNIE LOUISE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 120TH AVE NE, SUITE E, BELLEVUE, WA 98005-2133
(425) 467-7105
Mailing address
1239 120TH AVE NE, SUITE E, BELLEVUE, WA 98005-2133
(425) 467-7105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00003570
WA
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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