MEDICARE: CIARA HENDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	12955	NC

General Provider Information

NPI Number	:	1285001537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIARA HENDERSON

Provider Business Mailing Address
First Line	:	2020 ARDMORE BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-4608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 STRICKLAND RD STE 101
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-3189
Country	:	US
Telephone Number	:	919-341-4234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2015
Last Update Date	:	11/24/2025

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Directions to “ CIARA HENDERSON ” Practice Location

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