Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00651700 | NJ |
NPI | 1033519400 |
---|---|
Provider Name | Dr. Christina Mchenry |
First Address | Flemington, NJ 08822-1848 |
Second Address | Bound Brook, NJ 08805-1523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2014 |
Last Update Date | 10/04/2018 |