Individual
MRS. LAUREN KAITLYN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 W STATE HIGHWAY 6, WACO, TX 76712-4041
(254) 761-8500
Mailing address
216 FANNIN DR, HEWITT, TX 76643-3143
(254) 716-5572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108328
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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