Individual
KAYLA DAWN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
411 N MADISON ST, WEBB CITY, MO 64870-1238
(417) 673-6000
Mailing address
1803 AVONDALE AVE, WEBB CITY, MO 64870-9642
(417) 439-8264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008019646
MO
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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