Provider Demographics
NPI:1477696987
Name:FERRARI, DENISE (OTRL)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:
Last Name:FERRARI
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11941-1308
Mailing Address - Country:US
Mailing Address - Phone:516-650-6557
Mailing Address - Fax:
Practice Address - Street 1:41 TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:EASTPORT
Practice Address - State:NY
Practice Address - Zip Code:11941-1308
Practice Address - Country:US
Practice Address - Phone:516-650-6557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011009-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist