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Individual

MARTHA L HENSHAW

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
250 S MCCORMICK ST, PRESCOTT, AZ 86303-4714
(928) 777-8050
(928) 443-9029
Mailing address
250 S MCCORMICK ST, PRESCOTT, AZ 86303-4714
(928) 777-8050
(928) 443-9029

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4276
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0187239
STATE OF WA DOL
WA
01
AZ0462680
BCBS
AZ
Enumeration date
05/11/2006
Last updated
07/08/2007
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