Provider Demographics
NPI:1033511233
Name:CLEVER, CAITLIN KEMPF (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:KEMPF
Last Name:CLEVER
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MISS
Other - First Name:CAITLIN
Other - Middle Name:MARIE
Other - Last Name:KEMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:5510 STANTON AVE
Mailing Address - Street 2:APT. 3
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5510 STANTON AVE
Practice Address - Street 2:APT. 3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2036
Practice Address - Country:US
Practice Address - Phone:412-328-3591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012820225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist