Individual
HENDERSON YESUDHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12760 WESTWOOD LAKES BLVD, TAMPA, FL 33626-2345
(813) 343-8949
Mailing address
12760 WESTWOOD LAKES BLVD, TAMPA, FL 33626-2345
(813) 343-8949
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT6562
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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