Individual
CHRISTINA HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3240 W SILVER LAKE RD, FENTON, MI 48430-1374
(810) 714-4616
Mailing address
6067 MAPLE TRL, GRAND BLANC, MI 48439-9040
(248) 467-1470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017211
MI
Other
Enumeration date
05/20/2015
Last updated
06/06/2022
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