Individual
JENNIFER HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3161 WICK DR, OREGON, OH 43616-1751
(567) 315-5261
Mailing address
3161 WICK DR, OREGON, OH 43616-1751
(567) 315-5261
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
09518
OH
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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