Individual
KELLI HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1804 OAKLEY SEAVER DR, CLERMONT, FL 34711-1925
(352) 989-5838
Mailing address
15209 SERENADE DR, WINTER GARDEN, FL 34787-5500
(407) 538-4375
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30734
FL
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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