Individual
ELEANOR HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
1592 LOVE RD, GRAND ISLAND, NY 14072-2309
(716) 430-1745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
008783-1
NY
225X00000X
Occupational Therapist
Primary
025581
NY
Other
Enumeration date
10/02/2015
Last updated
04/27/2021
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