Individual
MRS. JAMIE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9348 SOUTH BROWN RD, CHARDON, OH 44024
(440) 279-4153
Mailing address
9348 SOUTH BROWN RD, CHARDON, OH 44024
(440) 279-4153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04932
OH
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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