Provider Demographics
NPI:1730122235
Name:ESTEP, DENESE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DENESE
Middle Name:
Last Name:ESTEP
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 1:4 RIDGEWELL CT
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3167
Mailing Address - Country:US
Mailing Address - Phone:501-944-1597
Mailing Address - Fax:501-835-6564
Practice Address - Street 1:4 RIDGEWELL CT
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3167
Practice Address - Country:US
Practice Address - Phone:501-944-1597
Practice Address - Fax:501-835-6564
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR180225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist