Individual
AMANDA RAY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 LOTHROP ST STE C-800, PITTSBURGH, PA 15213-2536
(412) 647-2345
Mailing address
200 LOTHROP ST STE C-800, PITTSBURGH, PA 15213-2536
(412) 647-2345
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA063252
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2020
Last updated
02/28/2022
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