Individual
EMILY S HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T
Contact information
Practice address
400 PAUL BRYANT DR E, TUSCALOOSA, AL 35401-2009
(205) 345-0192
(205) 247-2194
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3604
MS
225100000X
Physical Therapist
Primary
PTH4364
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051523082
—
AL
01
—
51523082
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/14/2006
Last updated
10/28/2019
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