Individual
LAURA ANN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
22 CORPORATE PLAZA DR, SUITE 113, NEWPORT BEACH, CA 92660-7985
(949) 722-5088
Mailing address
10900 WARNER AVE, SUITE 111, FOUNTAIN VALLEY, CA 92708-3846
(714) 964-3337
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
43076
CA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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