Jacqueline A Henderson, PT
Physical Therapist in New York, NY. Individual provider (NPI-1).
NPI number1033366331
StatusActive
Last updated in NPPESNov 10, 2015
Details
- NPI
- 1033366331
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline A Henderson
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2008
- Last updated
- Nov 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 033159 | NY | Yes |
Practice location
110 E 42nd StSuite 1504
New York, NY 10017-5611
Phone 212-354-2622 · Fax 212-354-2752
Mailing address
110 E 42nd StSuite 1504
New York, NY 10017-5611
Phone 212-354-2622 · Fax 212-354-2752
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