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Contact Information

RICHARD M HENDERSON JR
5321 BEVERLY PARK CIR
KNOXVILLE, TN37918
 Phone: 865-687-1321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RICHARD M HENDERSON JR · (Male)

NPI Number 1881019859
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2014
Last updated 02/13/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 4965
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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