Individual
KENYANI SHANAI HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1515 LAMBERTS MILL RD, WESTFIELD, NJ 07090-4763
(908) 233-9700
Mailing address
1405 CLINTON ST, LINDEN, NJ 07036-3329
(908) 217-6009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00645200
NJ
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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