Provider Demographics
NPI:1407283757
Name:DENONCOUR, JANN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANN
Middle Name:
Last Name:DENONCOUR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MARGARITA CT
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1900
Mailing Address - Country:US
Mailing Address - Phone:843-342-7272
Mailing Address - Fax:843-342-7272
Practice Address - Street 1:150 HURRICANE ALLEY
Practice Address - Street 2:
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927
Practice Address - Country:US
Practice Address - Phone:843-784-8640
Practice Address - Fax:843-784-8697
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC817225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist