Individual
MRS. SHARON VANESSA HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
241 37TH STREET, SUITE 604, BROOKLYN, NY 11232
(718) 965-1998
Mailing address
66 BANK STREET, VALLEY STREAM, NY 11580
(516) 285-1623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004174-1
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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