JOLETTA HENDERSON
Contractor - Home Modifications
Active
Individual
NPI: 1154610152
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | No | 64592 (TN) |
| Physical Therapy Assistant | 225200000X | No | PTA4329 (MS) |
| Contractor - Home Modifications | 171WH0202X | Yes | 64592 (TN) |
Frequently Asked Questions
NPI 1154610152 is the National Provider Identifier for JOLETTA HENDERSON, a Contractor - Home Modifications provider located in Memphis, TN. This NPI was enumerated on March 31, 2011.
JOLETTA HENDERSON practices at 6393 GREEN GROVE DR, Memphis, TN 38141.
Quick Facts
- NPI
- 1154610152
- Type
- Individual
- Enumerated
- Mar 31, 2011
- Last Updated
- Aug 17, 2021
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