Provider Demographics
NPI:1477520898
Name:LOHEAC, DENISE P (OTR-CHT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:P
Last Name:LOHEAC
Suffix:
Gender:F
Credentials:OTR-CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MORGAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12443-6033
Mailing Address - Country:US
Mailing Address - Phone:845-514-2841
Mailing Address - Fax:866-496-0057
Practice Address - Street 1:118 MORGAN HILL RD
Practice Address - Street 2:
Practice Address - City:HURLEY
Practice Address - State:NY
Practice Address - Zip Code:12443-6033
Practice Address - Country:US
Practice Address - Phone:845-514-2841
Practice Address - Fax:866-496-0057
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000896-1225X00000X, 225XH1200X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5541450001OtherDMERC
NY5541450001Medicare NSC
NY5541450001OtherDMERC