Individual
ALBERT HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 ANSEL ST, GREENVILLE, SC 29601-3407
(864) 451-7789
Mailing address
411 ANSEL ST, GREENVILLE, SC 29601-3407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4552
SC
Other
Enumeration date
07/28/2017
Last updated
09/21/2021
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