Andrea Diane Henderson M.P.T.

NPI 1790932895 - Physical Therapist - 225100000X

NPI Details
NPI 1790932895
Gender Female
Enumeration Date 08/20/2008
Last Updated 08/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
640 S IRENA AVE
REDONDO BEACH CA, 90277-4355, US
Phone (310) 977-5518
Fax (310) 540-9512
Business Location
640 S IRENA AVE
REDONDO BEACH CA, 90277-4355, US
Phone (310) 977-5518
Fax (310) 540-9512
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 20495
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According to our database, Mrs. Andrea Diane Henderson M.P.T. NPI is 1790932895, taxonomy code is 225100000X and license number is 20495, license state is located at California. Andrea Diane Henderson M.P.T. physically located at 640 S Irena Ave, Redondo Beach CA, 90277-4355. NPI Number Andrea Diane Henderson M.P.T. has the Individual type.

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1790932895 NPI number is provided on an as is basis without warranty of any kind. 1790932895 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Diane Henderson M.P.T. are for informational purposes only.