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NPI Code Detail

MEDICARE: DOROTHY HENLEY

MEDICARE:   DOROTHY  HENLEY
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1851636872
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY HENLEY
Provider Business Mailing Address
First Line : 7951 W CHARLESTON BLVD
Second Line : #50
City : LAS VEGAS
State : NV
Zip : 89117-1369
Country : US
Telephone Number : 702-476-4911
Fax Number :
Provider Business Practice Location Address
First Line : 7951 W CHARLESTON BLVD
Second Line : #50
City : LAS VEGAS
State : NV
Zip : 89117-1369
Country : US
Telephone Number : 702-476-4911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2012
Last Update Date : 12/02/2012

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Directions to “ DOROTHY HENLEY ” Practice Location

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