Individual
MRS. ALLISON A HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
612 CENTRAL CTR, CHILLICOTHE, OH 45601
(740) 774-2106
(740) 774-2107
Mailing address
612 CENTRAL CTR, CHILLICOTHE, OH 45601-2248
(740) 774-2106
(740) 774-2107
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
6042/T2957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H018779
PTAN MEDICARE
—
Enumeration date
07/19/2011
Last updated
09/05/2018
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