Provider Demographics
NPI:1225461577
Name:LABRIE, AVIVA (OTR/ L)
Entity Type:Individual
Prefix:MRS
First Name:AVIVA
Middle Name:
Last Name:LABRIE
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 1:18140 NE 10TH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-1263
Mailing Address - Country:US
Mailing Address - Phone:786-512-0999
Mailing Address - Fax:
Practice Address - Street 1:18140 NE 10TH CT
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-1263
Practice Address - Country:US
Practice Address - Phone:786-512-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018145-1225X00000X
FL22020225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist