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1720178940
SCOTT J HENDERSON
GRAND RAPIDS, MI
NPI
1720178940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501300688)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- SCOTT J HENDERSON PT
4069 LAKE DR SE STE 114
GRAND RAPIDS, MI 49546-8816
Phone number: 616-726-8365
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Mailing Address
-- SCOTT J HENDERSON PT
4085 BURTON ST SE STE 200
GRAND RAPIDS, MI 49546-2444
Phone number:
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