Provider Demographics
NPI:1477704757
Name:BERTONE, DENISE M (OTR/L)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:BERTONE
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 1:33 DAVENPORT AVE
Mailing Address - Street 2:APT. 4A
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-3448
Mailing Address - Country:US
Mailing Address - Phone:914-906-7695
Mailing Address - Fax:
Practice Address - Street 1:317 NORTH ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2209
Practice Address - Country:US
Practice Address - Phone:914-597-4007
Practice Address - Fax:914-597-4006
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0103121225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics