Individual
JAN HODGES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,MS,PCS
Contact information
Practice address
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER - PEDIATRICS, PORTSMOUTH, VA 23708-2111
(757) 953-5165
(757) 953-7134
Mailing address
1640 CLARKS CIR, CHESAPEAKE, VA 23321-6614
(757) 966-1631
(757) 953-7134
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305002264
VA
Other
Enumeration date
04/03/2006
Last updated
04/08/2014
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