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1659463354
MICHAEL HENDERSON
SOUTH BEND, IN
NPI
1659463354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05008295A)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
MR. MICHAEL HENDERSON P.T.
1005 N HICKORY RD
SOUTH BEND, IN 46615-3723
Phone number: 574-233-5754
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Mailing Address
MR. MICHAEL HENDERSON P.T.
14463 THELMA CT
GRANGER, IN 46530-8460
Phone number: 574-271-1065
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