Individual
MS. AMANDA RUTH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
150 ELDEN ST, STE 242, HERNDON, VA 20170-4861
(877) 488-1990
Mailing address
150 ELDEN ST, STE 242, HERNDON, VA 20170-4861
(877) 488-1990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1231829
TX
225100000X
Physical Therapist
Primary
2305210839
VA
Other
Enumeration date
08/20/2013
Last updated
02/10/2017
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