Individual
VICTORIA LORRAINE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1615 WINDSOR HILL CT, MONTGOMERY, AL 36106-0168
(334) 239-9316
Mailing address
2413 HALCYON DOWNS LOOP, MONTGOMERY, AL 36117-7756
(334) 318-0624
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2014
Last updated
02/10/2023
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