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Search › Florida › 225200000X

Jeromy Henderson, PTA

NPI 1023778941 · on the registry since 2021 · sole proprietor

Practice

Address
284 Forest Park Cir
Panama City, FL 32405
Phone
(850) 347-4551
Organisation at this address
Panama City Ppec, Llc
New Leaf Counseling And Consulting Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida