Individual
GENA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1092 MENDELL CIR NE, ATLANTA, GA 30319-2327
(770) 256-9921
(404) 228-7107
Mailing address
1092 MENDELL CIR NE, ATLANTA, GA 30319-2327
(770) 256-9921
(404) 228-7107
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT011345
GA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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