Provider Demographics
NPI:1982192621
Name:LEVITRE, CLAIRE (OTR/L)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:LEVITRE
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 1:42 TIPPERARY DR
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-2039
Mailing Address - Country:US
Mailing Address - Phone:508-887-1470
Mailing Address - Fax:
Practice Address - Street 1:42 TIPPERARY DR
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-2039
Practice Address - Country:US
Practice Address - Phone:508-887-1470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist