Individual
KRISTEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 S MAIN ST, SALINAS, CA 93901-3233
(408) 241-9911
(408) 241-7788
Mailing address
1520 PARKMOOR AVE STE A, SAN JOSE, CA 95128-2422
(408) 241-9911
(408) 241-7788
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 10592
CA
Other
Enumeration date
08/21/2011
Last updated
08/21/2011
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