Healthcare Provider Details

I. General information

NPI: 1497664494
Provider Name (Legal Business Name): SYDNEY ANN HOLLINGSWORTH OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 N FRANKLIN DR STE 4-5
WASHINGTON PA
15301-5874
US

IV. Provider business mailing address

2112 N FRANKLIN DR STE 4-5
WASHINGTON PA
15301-5874
US

V. Phone/Fax

Practice location:
  • Phone: 724-705-7050
  • Fax:
Mailing address:
  • Phone: 724-705-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021717
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: