Benjamin Hendrickson
Occupational Therapy Assistant in Johnson City, TN. Individual provider (NPI-1).
NPI number1982202974
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1982202974
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Hendrickson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 0000003350 | TN | Yes |
Practice location
140 Technology LnJohnson City, TN 37604-2004
Phone 423-434-2016
Mailing address
9096 Mountain RdLebanon, VA 24266-6678
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Other Occupational Therapy Assistant providers in Johnson City, TN
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- Karen EckmanNPI 1720513294
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All 23 Occupational Therapy Assistant providers in Johnson City · All 4,629 providers in Johnson City
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