Individual
MR. ROBERT RANDALL HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
600 W BLANCHARD AVE, SOUTH HUTCHINSON, KS 67505-1526
(620) 663-7175
Mailing address
4507 FOOTHILL DR, HUTCHINSON, KS 67502-4613
(620) 728-0300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00192
KS
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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