Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Andrea Diane Henderson, MPT

Individual provider Physical Therapist · NPI 1790932895

Mrs. Andrea Diane Henderson, MPT is a Physical Therapist in Redondo Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

640 S Irena Ave
Redondo Beach, CA 90277-4355
Phone: (310) 977-5518
Fax: (310) 540-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 20495 (CA)

Record details

NPI number1790932895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorYes
NPI enumeratedAugust 20, 2008
Last updated in NPPESAugust 20, 2008

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