| NPI | 1487053617 |
|---|---|
| Professional Name | LORI HENRICKSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT12246) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12246) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-14 |