Individual
TAMMY LYNN HENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 GRAND POINTE CT, GRAND BLANC, MI 48439-5502
(810) 695-8920
Mailing address
1855 WOODFIELD ST, ORTONVILLE, MI 48462-9120
(248) 807-1437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007745
MI
225200000X
Physical Therapy Assistant
5502003761
MI
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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