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Dr. Jeffrey Henderson, DPT

Physical Therapist in Beaver, PA. Individual provider (NPI-1).

NPI number1194860171
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1194860171
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey Henderson
Credential
DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT017634PAYes
225100000X Physical TherapistPT32765CA

Practice location

107 Pinkerton Dr
Beaver, PA 15009-1213

Phone 412-403-0711

Mailing address

107 Pinkerton Dr
Beaver, PA 15009-1213

Phone 412-403-0711

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