Individual
HEIDI J HENRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 MATHIS FERRY RD, MT PLEASANT, SC 29464-2623
(843) 884-0212
(843) 884-0565
Mailing address
1714 GREYSTONE BLVD APT 49, MT PLEASANT, SC 29464-7558
(608) 792-6020
(843) 884-0565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3248
SC
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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