Individual
LAURIE Y HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7457
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014599
KAISER-COMMERCIAL NUMBER
—
05
—
60083387
—
CO
Enumeration date
02/28/2007
Last updated
09/15/2014
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