KELLY HENDERSON
Occupational Therapy Assistant
Active
Individual
NPI: 1861250060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | 0131000648 (VA) |
Frequently Asked Questions
NPI 1861250060 is the National Provider Identifier for KELLY HENDERSON, a Occupational Therapy Assistant provider located in South Boston, VA. This NPI was enumerated on March 12, 2024.
KELLY HENDERSON practices at 1209 WADDELL LN, South Boston, VA 24592.
Quick Facts
- NPI
- 1861250060
- Type
- Individual
- Enumerated
- Mar 12, 2024
- Last Updated
- Mar 12, 2024
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