Cornelius Henderson in Ridgeland - Physical Therapy Assistant

Cornelius Henderson - NPI 1245410323

Cornelius Henderson is a Physical Therapy Assistant in Ridgeland, Mississippi. Cornelius Henderson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Cornelius Henderson is 1245410323. The last update date is 2023-03-09.

Cornelius Henderson's current location address is 711 Avignon Dr, Ridgeland, Mississippi. You can contact this provider via phone number 6016056777 and fax number 6016058869. The mailing address for Cornelius Henderson is 711 Avignon Dr, Ridgeland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Cornelius Henderson
Address 711 Avignon Dr, Ridgeland, Mississippi
Phone Number 6016056777
Fax Number 6016058869
Sole Proprietor Y
Credentials DPT

NPI Number Detail

NPI Number 1245410323
Provider Enumeration Date 2007-11-06
Last Updated Date 2023-03-09

Provider Mailing Address Detail

Address 711 Avignon Dr
City Ridgeland
State Mississippi (MS)
Post Code 391575120
Phone Number 6016056777
Fax Number 6016058869

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA3890
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Cornelius Henderson

What is the Cornelius Henderson's unique identification number?

The Cornelius Henderson has been assigned the NPI (National Provider Identifier) Number 1245410323 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Cornelius Henderson is located?

The Cornelius Henderson is situated at the following address: 711 Avignon Dr, Ridgeland, MS, 391575120.

What is the area of specialization for Cornelius Henderson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Cornelius Henderson is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.

When did the Cornelius Henderson receive its 1245410323?

The Cornelius Henderson was issued its 1245410323 on 2007-11-06, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Cornelius Henderson most recently updated or revised?

The information pertaining to Cornelius Henderson, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-09.

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