Individual
ERICA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PARK PL, SELMA, AL 36701-7743
(334) 872-3471
Mailing address
6276 SYCAMORE DR, MONTGOMERY, AL 36117-4536
(334) 372-2363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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