Provider Demographics
NPI:1295989093
Name:HENIGAN, SHARON LEIGH (COTA/L)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEIGH
Last Name:HENIGAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TRAFFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15085-1164
Mailing Address - Country:US
Mailing Address - Phone:412-780-1168
Mailing Address - Fax:
Practice Address - Street 1:661 6TH ST
Practice Address - Street 2:
Practice Address - City:TRAFFORD
Practice Address - State:PA
Practice Address - Zip Code:15085-1164
Practice Address - Country:US
Practice Address - Phone:412-780-1168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP001125L172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker