Individual
KATHLEEN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
115 SANDRA MURAIDA WAY APT 518, AUSTIN, TX 78703-4840
(248) 819-0771
Mailing address
115 SANDRA MURAIDA WAY APT 518, AUSTIN, TX 78703-4840
(248) 819-0771
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
070017402
IL
2251P0200X
Pediatric Physical Therapist
Primary
1311853
TX
Other
Enumeration date
06/10/2009
Last updated
07/02/2020
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