Individual
MR. TROY W HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-7064
Mailing address
501 CALDWELL LN, DUNBAR, WV 25064-2026
(304) 744-7064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1155
WV
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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