Provider Demographics
NPI:1497215180
Name:DENDER, HOLLY C (OTR/L)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:C
Last Name:DENDER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:HOLLY
Other - Middle Name:C
Other - Last Name:DENDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:130 KINGS RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1817
Mailing Address - Country:US
Mailing Address - Phone:610-828-3323
Mailing Address - Fax:
Practice Address - Street 1:8601 STENTON AVE
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-8312
Practice Address - Country:US
Practice Address - Phone:215-233-6242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000114L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist