Individual
ALINE ELIZABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
(360) 426-4680
Mailing address
2430 N 13TH ST, SHELTON, WA 98584-1213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
224Z00000X
WA
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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