Individual
MRS. TERRI LYNNE HENDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
624 W CEDARVILLE RD, FREEPORT, IL 61032-9155
(815) 563-4331
(815) 563-4331
Mailing address
624 W CEDARVILLE RD, FREEPORT, IL 61032-9155
(815) 563-4331
(815) 563-4331
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
TH85270993P
IL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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