Provider Demographics
NPI:1598237463
Name:LEVINE, CLAUDIA B
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:B
Last Name:LEVINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352-56 E PASSYUNK AVE APT 2W
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-5625
Mailing Address - Country:US
Mailing Address - Phone:516-978-6919
Mailing Address - Fax:
Practice Address - Street 1:1352-56 E PASSYUNK AVE APT 2W
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-5625
Practice Address - Country:US
Practice Address - Phone:516-978-6919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC015028225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist