Doctor Name: | MS. GAIL THERESA HENDERSON |
NPI Number: | 1083639280 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,ATC,PT,CCRP |
License Number: | 4346 |
Business Practice Address: | 350 Litchfield Rd New Milford, CT - 067762003 |
Business Phone Number: | 8603505579 |
Business Fax Number: | 8603550495 |
Mailing Address: | 1 Chandler Ln, NEW MILFORD |
State: | CT |
Postal Code: | 067763855 |
Phone Number: | 8603505579 |
Fax Number: | 8603550495 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |