Individual
JANA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
910 E 26TH ST, SUITE 210, MINNEAPOLIS, MN 55404-4526
(612) 879-1000
(612) 879-9116
Mailing address
910 E 26TH ST, SUITE 210, MINNEAPOLIS, MN 55404-4526
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102715
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083437800
—
MN
Enumeration date
03/23/2007
Last updated
07/08/2007
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