Provider Demographics
NPI:1548270598
Name:CLIFTON, DENISE MARIE (OT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 GRACE CORPENING DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-5864
Mailing Address - Country:US
Mailing Address - Phone:828-580-6821
Mailing Address - Fax:828-580-6822
Practice Address - Street 1:348 GRACE CORPENING DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-5864
Practice Address - Country:US
Practice Address - Phone:828-580-6821
Practice Address - Fax:828-580-6822
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2020-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAI9350225X00000X
NC9760225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist