Individual
MRS. JENNIFER H HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
756 RIDGE LAKE BLVD, SUITE 205, MEMPHIS, TN 38120-9420
(901) 767-3667
(901) 767-3669
Mailing address
756 RIDGE LAKE BLVD, SUITE 205, MEMPHIS, TN 38120-9420
(901) 767-3667
(901) 767-3669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2412
TN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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