Individual
MS. JUSTINE BEAUCHAMP HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
377 W BROADWAY, SOUTH BOSTON, MA 02127-2217
(617) 752-4643
Mailing address
377 W BROADWAY, SOUTH BOSTON, MA 02127-2217
(617) 752-4643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22059
MA
Other
Enumeration date
12/30/2015
Last updated
08/20/2024
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