Individual
MERRILEE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
22426 SAINT FRANCIS BLVD, ANOKA, MN 55303-9670
(763) 753-2500
(763) 753-5999
Mailing address
22051 DURANT ST NE, PO BOX 170, CEDAR, MN 55011-4754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101238
MN
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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