Provider Demographics
NPI:1518035260
Name:MORREALE, CLAUDIA R (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:R
Last Name:MORREALE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:R
Other - Last Name:ROMAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:523 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48306-2647
Mailing Address - Country:US
Mailing Address - Phone:248-652-6445
Mailing Address - Fax:
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201005276225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist