Individual
LOUISE HENRIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1135 TWO OAKS BLVD, MERRITT ISLAND, FL 32952-6004
(321) 452-4459
Mailing address
1135 TWO OAKS BLVD, MERRITT ISLAND, FL 32952-6004
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OTA13807
FL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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