Individual
CHERYL HENNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 TWIGKENHAM DR, RICHBORO, PA 18954-1406
(215) 364-5515
(215) 364-5515
Mailing address
45 TWIGKENHAM DR, RICHBORO, PA 18954-1406
(215) 364-5515
(215) 364-5515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001223L
PA
225XP0200X
Pediatric Occupational Therapist
OC001223L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011082900001
—
PA
Enumeration date
03/29/2008
Last updated
03/29/2008
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