Individual
KATIE HENRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 FLORAL ST, OPELIKA, AL 36801-3820
(334) 559-1327
Mailing address
902 FLORAL ST, OPELIKA, AL 36801-3820
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10761
AL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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