Provider Demographics
NPI:1083196364
Name:LAVOIE, OLIVIA CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:CHRISTINE
Last Name:LAVOIE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:CHRISTINE
Other - Last Name:RADICHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1050 MAIN ST UNIT 16
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-3163
Mailing Address - Country:US
Mailing Address - Phone:401-443-5252
Mailing Address - Fax:
Practice Address - Street 1:1050 MAIN ST UNIT 16
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3163
Practice Address - Country:US
Practice Address - Phone:401-443-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT01630225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics