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Individual

MR. WAYNE ANDREW HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
200 S ALABAMA ST, MUSCLE SHOALS, AL 35661-3102
(256) 381-4330
Mailing address
200 S ALABAMA ST, MUSCLE SHOALS, AL 35661-3102
(256) 381-4330

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3664
AL

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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