| Organization Name: | PATRICIA W HENDERSON DO PC |
| NPI Number: | 1508059429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA W HENDERSON (OWNER) |
| Mailing Address: | 1 Arh Lane Suite 800 Low Moor |
| State: | VA US |
| Postal Code: | 24457 |
| Phone Number: | 5408626750 |
| Fax Number: | 5408623742 |
| NPI Enumeration Date: | 08/23/2007 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110001381 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |