Provider Demographics
NPI:1285885079
Name:SENICO, CHARLENE ANNE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:ANNE
Last Name:SENICO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 EDMONDS DR
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-3711
Mailing Address - Country:US
Mailing Address - Phone:610-721-6416
Mailing Address - Fax:
Practice Address - Street 1:724 N CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-4607
Practice Address - Country:US
Practice Address - Phone:610-323-1837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC-008283225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist