=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851234363
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DENISE PARR OTR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2026
-----------------------------------------------------
Last Update Date | 04/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 120 W FM 1355
-----------------------------------------------------
City | KINGSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78363-2767
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-522-7951
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 120 W FM 1355
-----------------------------------------------------
City | KINGSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78363-2767
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-522-7951
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XP0019X
-----------------------------------------------------
Taxonomy Name | Physical Rehabilitation Occupational Therapist
-----------------------------------------------------
License Number | 109075
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------