Provider Demographics
NPI:1659559060
Name:CLAIBORNE, DENISE KENNY (MS, OTR, CHT)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:KENNY
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:MS, OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36089 PARKHURST AVE
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5118
Mailing Address - Country:US
Mailing Address - Phone:734-464-6311
Mailing Address - Fax:
Practice Address - Street 1:15250 LEVAN RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5030
Practice Address - Country:US
Practice Address - Phone:734-464-6311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000106225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand