Individual
LYDIA C HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1647 TERRACE DR, LOUDON, TN 37774-4827
(229) 520-7018
Mailing address
1647 TERRACE DR, LOUDON, TN 37774-4827
(229) 520-7018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7083
TN
Other
Enumeration date
11/08/2021
Last updated
03/25/2025
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