MEDICARE: DR. CHRISTINA MCHENRY OTD

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	225XP0019X	Physical Rehabilitation Occupational Therapist	46TR00651700	NJ

General Provider Information

NPI Number	:	1033519400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA MCHENRY OTD

Provider Business Mailing Address
First Line	:	1004 NORMANDY CT
Second Line	:
City	:	FLEMINGTON
State	:	NJ
Zip	:	08822-1848
Country	:	US
Telephone Number	:	908-500-7651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2005 ROUTE 22 WEST
Second Line	:
City	:	BOUND BROOK
State	:	NJ
Zip	:	08805-1523
Country	:	US
Telephone Number	:	732-302-4596
Fax Number	:

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

Provider Enumeration Date	:	09/03/2014
Last Update Date	:	04/10/2018

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