Ericka Henderson

Physical Therapy Assistant · Oak Park, IL

Individual Active NPI

NPI number 1679220347

Practice location

1111 Ontario St
Oak Park, IL 60302-1939
Phone
(708) 934-7149

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NPI record

NPI
1679220347
Entity type
Individual (Type 1)
Enumeration date
March 3, 2022
Last updated
March 3, 2022
Certified
March 1, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160008202 IL

Mailing address

405 Washington Blvd
Oak Park, IL 60302-4036

About Ericka Henderson

Ericka Henderson is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1111 Ontario St, Oak Park, IL 60302-1939. The NPI number 1679220347 was assigned on March 3, 2022 and the record was last updated on March 3, 2022.

Ericka Henderson lists a license in the registry: #160008202 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ericka Henderson?

The NPI number is 1679220347.

What is the phone number of Ericka Henderson?

The phone number listed for the practice location is (708) 934-7149.

Where is Ericka Henderson located?

1111 Ontario St, Oak Park, IL 60302-1939.

What is the taxonomy code for Ericka Henderson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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