Individual
PAULA HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 TABOR HILL CT, SAN JACINTO, CA 92583-5751
(951) 313-2600
Mailing address
1526 TABOR HILL CT, SAN JACINTO, CA 92583-5751
(951) 313-2600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
562
CA
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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