Individual
MRS. SUSAN R HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
306 W 3RD ST, BIG SPRING, TX 79720-2429
(432) 267-3806
(432) 267-3809
Mailing address
306 W 3RD ST, BIG SPRING, TX 79720-2429
(432) 267-3806
(432) 267-3809
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208763
TX
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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