=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093688798
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEVON RAE DENMAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2025
-----------------------------------------------------
Last Update Date | 09/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 610 FREEDOM BUSINESS CTR DR STE 100
-----------------------------------------------------
City | KING OF PRUSSIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19406-1329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-224-7913
-----------------------------------------------------
Fax | 484-224-7914
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 610 FREEDOM BUSINESS CTR DR STE 100
-----------------------------------------------------
City | KING OF PRUSSIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19406-1329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-224-7913
-----------------------------------------------------
Fax | 484-224-7914
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | OC020678
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------