Individual
WILLIAM PARKER HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9201 MADISON AVE #235, ORANGEVALE, CA 95662
(909) 904-8904
Mailing address
9201 MADISON AVE #235, ORANGEVALE, CA 95662
(909) 904-8904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000006770
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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