ELIZABETH ANN HENDERSON

NEW PROACTIVE LLC

Dr ELIZABETH ANN HENDERSON is a female medical professional, specializing in Physical Therapy. She graduated in 2019 from University Of North Texas Health Science Center At Fort Worth.

Contact

NEW PROACTIVE LLC

308 N IVY ST
CANBY
OR
970133704

Tel: 5032636786

ELIZABETH ANN HENDERSON Information

Npi 1346800661
Pac Id 8022343979
Professional Enrollment Id I20190715001503
Last Name HENDERSON
First Name ELIZABETH
Middle Name ANN
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Graduation Year 2019
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NEW PROACTIVE LLC
Group Practice Pac Id 7315218708
Number Of Group Practice Members 43
Line 1 Street Address 308 N IVY ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANBY
State OR
Zip Code 970133704
Phone Number 5032636786
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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