Individual
REBECCA ANN HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6920 MARCHING DUCK DR, CHARLOTTE, NC 28210-3288
(407) 719-6130
Mailing address
1750 CAMDEN RD APT 533, CHARLOTTE, NC 28203-6572
(407) 719-6130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11371
NC
225X00000X
Occupational Therapist
OT15112
FL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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