Stephen Russell Henderson PT

NPI 1790845618 - Physical Therapist - 225100000X

NPI Details
NPI 1790845618
Gender Male
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
901 NEVIN AVE
RICHMOND CA, 94801-3143, US
Phone (510) 307-1649
Fax
Business Location
901 NEVIN AVE
RICHMOND CA, 94801-3143, US
Phone (510) 307-1649
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 22258
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According to our database, Stephen Russell Henderson PT NPI is 1790845618, taxonomy code is 225100000X and license number is 22258, license state is located at California. Stephen Russell Henderson PT physically located at 901 Nevin Ave, Richmond CA, 94801-3143. NPI Number Stephen Russell Henderson PT has the Individual type.

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1790845618 NPI number is provided on an as is basis without warranty of any kind. 1790845618 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Russell Henderson PT are for informational purposes only.