Individual
MRS. ANDREA DIANE HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
640 S IRENA AVE, REDONDO BEACH, CA 90277-4355
(310) 977-5518
(310) 540-9512
Mailing address
640 S IRENA AVE, REDONDO BEACH, CA 90277-4355
(310) 977-5518
(310) 540-9512
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20495
CA
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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