Individual
CHARITY JOY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(636) 755-3610
Mailing address
4539 CAMBROOK DR, SAINT CHARLES, MO 63304-8713
(815) 222-7689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010023236
MO
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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