| Doctor Name: | PAUL GLENN HENDERSON |
| NPI Number: | 1376566570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PTH603 |
| Business Practice Address: | 2506 Danville Rd Sw Suite 200 Decatur, AL - 356034232 |
| Business Phone Number: | 2563506331 |
| Business Fax Number: | 2563501990 |
| Mailing Address: | 1908 Flint Rd Se, DECATUR |
| State: | AL |
| Postal Code: | 356016031 |
| Phone Number: | 2563501764 |
| Fax Number: | 2563507757 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 10/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTH603 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |