Individual
MUNIRAH HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11885 W MCDOWELL RD APT 2081, AVONDALE, AZ 85392-6102
(623) 297-6772
Mailing address
11885 W MCDOWELL RD APT 2081, AVONDALE, AZ 85392-6102
(623) 297-6772
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5528
AZ
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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