| NPI | 1578701637 |
|---|---|
| Former Name | BETH E HENRICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 550102963) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501012963) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2024-11-21 |