Provider Demographics
NPI:1649515891
Name:BURTON, DENEE MARIE (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DENEE
Middle Name:MARIE
Last Name:BURTON
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 BARTH RD
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-9406
Mailing Address - Country:US
Mailing Address - Phone:740-376-0654
Mailing Address - Fax:
Practice Address - Street 1:117 BARTLETT ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2683
Practice Address - Country:US
Practice Address - Phone:740-373-1867
Practice Address - Fax:740-373-3133
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2470225X00000X
WV341225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist