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1518201078
TROY W HENDERSON
DUNBAR, WV
NPI
1518201078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1155)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
Mr. TROY W HENDERSON OTA/L
501 CALDWELL LN
DUNBAR, WV 25064-2026
Phone number: 304-744-7064
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Mailing Address
Mr. TROY W HENDERSON OTA/L
501 CALDWELL LN
DUNBAR, WV 25064-2026
Phone number: 304-744-7064
Copy
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