Individual
SHELLY HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 E WINCHESTER AVE, LANGHORNE, PA 19047-2250
(215) 757-3739
Mailing address
716 REMINGTON CT, CHALFONT, PA 18914-2204
(267) 337-2363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002725L
PA
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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