Individual
MRS. HEATHER MICHELLE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 SISKIN PLZ, CHATTANOOGA, TN 37403-1306
(423) 634-1500
(423) 634-4578
Mailing address
3400 JENKINS RD, APT 909, CHATTANOOGA, TN 37421-1152
(423) 580-2057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000003278
TN
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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