Eric J Henry, PT
Physical Therapist in Mascotte, FL. Individual provider (NPI-1).
NPI number1295035012
StatusActive
Last updated in NPPESMar 22, 2021
Details
- NPI
- 1295035012
- Entity type
- Individual (NPI-1)
- Name
- Eric J Henry
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2010
- Certification date
- Mar 21, 2021
- Last updated
- Mar 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 3096 | AR | Yes |
Practice location
15877 Surfbird CtMascotte, FL 34753-9116
Phone 501-470-5320
Mailing address
15877 Surfbird CtMascotte, FL 34753-9116
Phone 501-470-5320
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