Provider Demographics
NPI:1417340514
Name:DAPITO, DENESE H (MS,OTR/L, CLT)
Entity type:Individual
Prefix:
First Name:DENESE
Middle Name:H
Last Name:DAPITO
Suffix:
Gender:F
Credentials:MS,OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34990
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0627
Mailing Address - Country:US
Mailing Address - Phone:610-359-5640
Mailing Address - Fax:
Practice Address - Street 1:1 CRESCENT DR STE 100
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19112-1015
Practice Address - Country:US
Practice Address - Phone:215-521-3023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-12
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3132225X00000X
SC225X00000X
NJ46TR00554500225XH1200X
PAOC020782225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist