Individual
MS. PATRICIA V HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 BROOKSIDE AVE, MOUNT VERNON, NY 10553-1319
(914) 665-3506
Mailing address
78 BROOKSIDE AVE, MOUNT VERNON, NY 10553
(914) 665-3506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005736-1
NY
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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