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Individual

DANIEL RALPH HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
110 N WALMART DR, SUITE F, LOUISVILLE, MS 39339-5905
(662) 779-1096
(662) 779-3949
Mailing address
2416 HIGHWAY 45 N, COLUMBUS, MS 39705-1320
(662) 327-6705
(662) 327-6760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4021
MS

Other

Enumeration date
03/28/2015
Last updated
01/26/2017
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