Individual
BREANNA CHANNEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 852-3300
Mailing address
14150 ECON WOODS LN, ORLANDO, FL 32826-6417
(407) 219-8597
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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