Individual
MRS. ASHLEY MARIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
107 SUNSET LN, NORTH LITTLE ROCK, AR 72118-5155
(870) 818-0103
Mailing address
107 SUNSET LN, NORTH LITTLE ROCK, AR 72118-5155
(870) 818-0103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2193
AR
Other
Enumeration date
07/07/2012
Last updated
07/07/2012
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