Individual
AMANDA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
501 E SUMPTER ST, MEXIA, TX 76667
(254) 472-0630
Mailing address
553 LCR 244, MEXIA, TX 76667
(903) 390-1089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119653
TX
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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