Individual
MR. CARL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6005 PARK AVE, SUITE 802, MEMPHIS, TN 38119-5202
(901) 763-0037
(901) 763-0065
Mailing address
6005 PARK AVE, SUITE 802, MEMPHIS, TN 38119-5202
(901) 763-0037
(901) 763-0065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4300
TN
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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