IndividualActive
Andrea Henninger, MS, OTR/L
NPI 1205915022 · Pediatric Occupational Therapist · Dickson City, PA
Provider details
- NPI number
- 1205915022
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OC009484 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
851 Commerce Blvd
Suite 107
Dickson City, PA 18519-1759
Phone: (570) 489-5561
Fax: (570) 489-5563
Approximate (ZIP-level) locationGet directions
Mailing address
851 Commerce Blvd
Dickson City, PA 18519-1759
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.