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Individual

LORI HENRICKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L-BCP

Contact information

Practice address
2900 NE 30TH ST, 7G, FORT LAUDERDALE, FL 33306-1927
(954) 654-1243
(954) 533-4572
Mailing address
2900 NE 30TH ST, 7G, FORT LAUDERDALE, FL 33306-1927
(954) 654-1243
(954) 533-4572

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT12246
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT12246
FL

Other

Enumeration date
08/13/2014
Last updated
08/14/2014
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