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Mrs. Corretta N Henry-russell
Clinic/Center in Sanford, Florida
NPI 1063067098

Corretta N Henry-russell is a Clinic/Center based in Sanford, FL. Corretta N Henry-russell practices in Sanford, FL. The NPI Number for Corretta N Henry-russell is 1063067098 and holds a License No. (Florida).

The current practice location address for Corretta N Henry-russell is 1672 Stargazer Ter, Sanford, FL and can be reached out via phone at 407-860-8048.

Location: 1672 Stargazer Ter, Sanford, FL, 32771-9286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063067098
Provider Name
Corretta N Henry-russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1672 Stargazer Ter, Sanford, FL, 32771-9286
Phone Number
407-860-8048
Fax Number
Provider Enumeration Date
08/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1672 Stargazer Ter
City
Sanford
State
Florida
Zip
32771-9286
Phone Number
407-860-8048
Fax Number
person
Provider Business Mailing Address Details
Address
1672 Stargazer Ter
City
Sanford
State
Florida
Zip
32771-9286
Phone Number
407-860-8048
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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