Individual
MICHAEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1951 W CAMELBACK RD STE 450, PHOENIX, AZ 85015-3474
(602) 601-2401
Mailing address
7810 N 14TH PL APT 1075, PHOENIX, AZ 85020-4340
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
PTA013915
AZ
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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