Provider Demographics
NPI:1922290246
Name:DEFILIPPO, ELVIRA J, (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ELVIRA
Middle Name:J,
Last Name:DEFILIPPO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:VIRA
Other - Middle Name:J
Other - Last Name:DEFILIPPO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2062 DORCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4704
Mailing Address - Country:US
Mailing Address - Phone:617-785-6007
Mailing Address - Fax:
Practice Address - Street 1:387 QUARRY ST
Practice Address - Street 2:STE 102
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1025
Practice Address - Country:US
Practice Address - Phone:774-991-1875
Practice Address - Fax:774-244-4404
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4331225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist