Individual
MAUREEN HOLLY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7235 OHMS LN, EDINA, MN 55439-2148
(529) 841-2345
(952) 841-2346
Mailing address
7235 OHMS LN, EDINA, MN 55439-2148
(529) 841-2345
(952) 841-2346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2353
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03A91HE
BCBS OF MN
MN
01
—
24373
AMERICA'S PPO
MN
01
—
6402798
MEDICA
MN
01
—
962871010735
PREFERRED ONE
MN
01
—
HP44369
HEALTHPARTNERS
MN
Enumeration date
07/26/2006
Last updated
08/12/2019
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