Individual
MR. CLARENCE TIMOTHY HENERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
250 S CHICKASAW TRL, ORLANDO, FL 32825-3503
(407) 208-1690
Mailing address
250 S CHICKASAW TRL, ORLANDO, FL 32825-3503
(407) 208-1690
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20235
FL
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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