Provider Demographics
NPI:1205848777
Name:HENNING & COLE THERAPY ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:HENNING & COLE THERAPY ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RODGER
Authorized Official - Middle Name:C
Authorized Official - Last Name:HENNING
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:410-683-9900
Mailing Address - Street 1:10 WARREN RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2506
Mailing Address - Country:US
Mailing Address - Phone:410-683-9900
Mailing Address - Fax:410-683-3355
Practice Address - Street 1:621 STEMMERS RUN RD STE A
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-3386
Practice Address - Country:US
Practice Address - Phone:410-686-3600
Practice Address - Fax:410-686-1056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH-187OtherCAREFIRST