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Individual

THERESE ANN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
321 PARK HILL DR, FREDERICKSBURG, VA 22401-3375
(540) 446-2654
(540) 656-2755
Mailing address
321 PARK HILL DR, FREDERICKSBURG, VA 22401-3375
(540) 446-2654
(540) 656-2755

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006065
VA
225X00000X
Occupational Therapist
4861700-4201
UT

Other

Enumeration date
08/27/2007
Last updated
02/12/2014
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