Individual
CHELSEA K HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
315 W GIBSON ST, JASPER, TX 75951-4903
(409) 384-5768
Mailing address
611 ARCADIA CT, CENTER, TX 75935-4223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214632
TX
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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