Individual
EBONIQUE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, OTR/L
Contact information
Practice address
270 GERMAN OAK DR, CORDOVA, TN 38018-7220
(901) 546-7660
(901) 546-7662
Mailing address
7381 YONI LN, ARLINGTON, TN 38002-5972
(205) 837-5067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3228
TN
Other
Enumeration date
05/17/2007
Last updated
01/12/2015
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