Individual
TAMIKA DEANNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 POST OFFICE RD STE 105, WALDORF, MD 20602-2756
(301) 893-2345
Mailing address
3 POST OFFICE RD STE 105, WALDORF, MD 20602-2756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08484
OCCUPATIONAL THERAPIST, REGISTERED
MD
Enumeration date
08/28/2018
Last updated
05/18/2022
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