Individual
MRS. TRINA MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2320 HIGHWAY 378, CONWAY, SC 29527-4911
(843) 397-2273
Mailing address
1053 CENTER ST, WEST COLUMBIA, SC 29169-6749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2674
SC
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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