Individual provider · Type 1 NPI
Jan Hodges Henderson, PT, MS, PCS
Pediatric Physical Therapist · Portsmouth, VA
Practice location
620 John Paul Jones Cir, Naval Medical Center - Pediatrics
Portsmouth, VA 23708-2111
Fax (757) 953-7134
Mailing address
1640 Clarks Cir
Chesapeake, VA 23321-6614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2305002264 (VA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1720040116
Jan Hodges Henderson, PT, MS, PCS's National Provider Identifier is 1720040116, issued on Apr 3, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Portsmouth, VA. The record was last updated on Apr 8, 2014.