Individual
REBECCA S HENLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
20 COUNTRY CLUB DR, DOWNINGTOWN, PA 19335-3058
(610) 518-9100
(610) 518-0992
Mailing address
102 GREY DOVE DR., CHADDS FORD, PA 19317
(610) 247-8994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT005308L
PA
Other
Enumeration date
04/08/2011
Last updated
02/21/2012
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