Individual
HANNA JEANETTE HENDRICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 SAINT MARY ST STE A, THIBODAUX, LA 70301-2627
(985) 387-1919
Mailing address
239 JOLIE OAKS BLVD, THIBODAUX, LA 70301-7465
(309) 558-4318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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