Individual
MR. RICHARD M. HENDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918
(865) 687-1321
Mailing address
5321 BEVERLY PARK CIR, KNOXVILLE, TN 37918-9253
(865) 687-1321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4965
TN
225X00000X
Occupational Therapist
—
TN
Other
Enumeration date
02/27/2014
Last updated
02/13/2019
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