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NPI Code Detail

MEDICARE: MS. PAULA DENISE HENRY PT

MEDICARE:  MS. PAULA DENISE HENRY  PT
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
1225100000XPhysical Therapist05003827AIN

General Provider Information

NPI Number : 1306814645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA DENISE HENRY PT
Provider Business Mailing Address
First Line : 5851 S MEEKER AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47302
Country : US
Telephone Number : 765-286-1871
Fax Number : 765-741-8219
Provider Business Practice Location Address
First Line : 3607 NORTH EVERBROOK LANE
Second Line :
City : MUNCIE
State : IN
Zip : 47304
Country : US
Telephone Number : 765-741-8390
Fax Number : 765-741-8219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2006
Last Update Date : 07/08/2007

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Directions to “ MS. PAULA DENISE HENRY PT” Practice Location

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