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Contact Information

ANDREA HENNEBERRY
9706 STONEY GLEN DR APT L
MINT HILL, NC28227
 Phone: 814-823-3257
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ANDREA HENNEBERRY · (Female)

NPI Number 1114463429
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2017
Last updated 08/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 6231
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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