Healthcare Provider Details

I. General information

NPI: 1437161445
Provider Name (Legal Business Name): HENNING & COLE THERAPY ASSOCIATES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9712 BELAIR RD SUITE 101-A
NOTTINGHAM MD
21236-1103
US

IV. Provider business mailing address

10 WARREN RD SUITE 220
COCKEYSVILLE MD
21030-2506
US

V. Phone/Fax

Practice location:
  • Phone: 410-256-7070
  • Fax: 410-256-7077
Mailing address:
  • Phone: 410-683-9900
  • Fax: 410-683-3355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. RODGER C HENNING
Title or Position: CEO
Credential: R.P.T.
Phone: 410-683-9900