Therese Obrien Henderson
Individual provider Active NPI Supports Brokerage Agency · Milltown, NJ
NPI 1487436697 · NPPES record last updated Oct 23, 2023
Key facts
- NPI
- 1487436697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Supports Brokerage Agency 251X00000X
- Practice address
- 60 S Main St
Milltown, NJ 08850-1818 - Phone
- (908) 812-4403
- NPI assigned
- Oct 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Supports Brokerage Agency | 251X00000X | Yes |
Addresses
Primary practice location
60 S Main St
Milltown, NJ 08850-1818
Mailing address
60 S Main St
Milltown, NJ 08850-1818
Phone (908) 812-4403
Other practice location 1
1660 Dublin Cir
Moore Haven, FL 33471-5717
Phone (190) 881-2440
Other names
- Therese Obrien
Other providers in Milltown, NJ
- Milltown Vision Care
- Meshraki Mina
- New Jersey CVS Pharmacy LLC
- New Outlook Therapeutic Services LLC
- Nosh Pharm-LLC
- Oti Management Consulting, Inc
- Tara Paccillo
- Ritesh D Patel
- Roshan S. Patel
- Pathway Home Care LLC
All providers in Milltown, NJ · Supports Brokerage Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.