Individual
MRS. CHRISTAL LA'NEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
2008 HAIG POINT WAY, RALEIGH, NC 27604-8462
(336) 504-9992
Mailing address
2008 HAIG POINT WAY, RALEIGH, NC 27604-8462
(336) 504-9992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5782
NC
Other
Enumeration date
06/25/2007
Last updated
12/10/2020
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