Provider Demographics
NPI:1972764249
Name:DUMONT-MEYER, DENISE RENEE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:RENEE
Last Name:DUMONT-MEYER
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 1:1613 SUNNYSIDE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60051-6940
Mailing Address - Country:US
Mailing Address - Phone:815-793-2100
Mailing Address - Fax:815-344-6473
Practice Address - Street 1:3739 W ELM ST
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4372
Practice Address - Country:US
Practice Address - Phone:815-363-2350
Practice Address - Fax:815-344-6487
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056000779225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand