Provider Demographics
NPI:1518042852
Name:LECCE, DAVID (OT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:LECCE
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 CORPORATE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-7004
Mailing Address - Country:US
Mailing Address - Phone:412-369-7735
Mailing Address - Fax:412-369-7667
Practice Address - Street 1:5900 CORPORATE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-7004
Practice Address - Country:US
Practice Address - Phone:412-369-7735
Practice Address - Fax:412-369-7667
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC003594L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA091361Medicare ID - Type Unspecified