Katherine Ann Henderson

Individual provider Active NPI Physical Therapist · Oakton, VA

NPI 1306248166 · NPPES record last updated Apr 15, 2015

Key facts

NPI
1306248166
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
2960 Chain Bridge Rd
Suite 201
Oakton, VA 22124-3039
Phone
(703) 242-6460
Fax
(703) 242-6463
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

2960 Chain Bridge Rd
Suite 201
Oakton, VA 22124-3039

Mailing address

2960 Chain Bridge Rd
Suite 201
Oakton, VA 22124-3039
Phone (703) 242-6460

Other providers in Oakton, VA

All providers in Oakton, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.