Individual
NIKKI LYNN HENGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
550 N 12TH ST, SUITE 120, LEMOYNE, PA 17043-1242
(717) 737-9818
(717) 737-2815
Mailing address
550 N 12TH ST, SUITE 120, LEMOYNE, PA 17043-1242
(717) 737-9818
(717) 737-2815
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005906
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP005906
COTA LIC NBR
PA
Enumeration date
01/29/2007
Last updated
07/08/2007
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