Provider Demographics
NPI:1003209420
Name:PENDER, CHRISTINE (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:PENDER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:COLANTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:856 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1221
Mailing Address - Country:US
Mailing Address - Phone:860-563-2861
Mailing Address - Fax:
Practice Address - Street 1:856 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1221
Practice Address - Country:US
Practice Address - Phone:860-563-2861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003855225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology