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Individual

MRS. HEATHER LEA HENLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3102 RAINBOW DR, RAINBOW CITY, AL 35906-5804
(256) 413-7422
(256) 442-8106
Mailing address
201 GREENSPORT RD, ASHVILLE, AL 35953-5622
(205) 594-5592

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4511
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-28489
BLUE CROSS BLUE SHIELD
AL
Enumeration date
12/04/2006
Last updated
07/08/2007
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