Individual
DR. DARRETH H HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 635-7310
Mailing address
121 E BAKER ST, INDIANOLA, MS 38751-2450
(662) 635-7310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4692
MS
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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