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Individual

ANDREA HENNINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1759
(570) 489-5561
(570) 489-5563
Mailing address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1759
(570) 489-5561
(570) 489-5563

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC009484
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OC009484
PA

Other

Enumeration date
11/03/2006
Last updated
09/11/2025
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