Individual
COURTNEY HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 728-5399
Mailing address
2424 W 95TH ST, MINNEAPOLIS, MN 55431-2472
(507) 779-6185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104893
MN
Other
Enumeration date
07/17/2015
Last updated
09/06/2017
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