Individual
MRS. CARRIE M HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OT/L
Contact information
Practice address
6040 HARFORD RD, BALTIMORE, MD 21214-1327
(410) 426-8855
Mailing address
6040 HARFORD RD, BALTIMORE, MD 21214-1327
(410) 426-8855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05031
MD
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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