Provider Demographics
NPI:1326522079
Name:PINERO KEY, DENISE NICOLE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:NICOLE
Last Name:PINERO KEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:NICOLE
Other - Last Name:PINERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:8176 EAGLES PARK DR N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-7003
Mailing Address - Country:US
Mailing Address - Phone:917-348-8939
Mailing Address - Fax:
Practice Address - Street 1:4 W RED OAK LN STE 201
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3603
Practice Address - Country:US
Practice Address - Phone:866-546-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT16242225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist