Provider Demographics
NPI:1649921354
Name:SITAVI-HOFREUTER, MICHELLE ELISA (OTR/L)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ELISA
Last Name:SITAVI-HOFREUTER
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 1:101 EVANS ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9630
Mailing Address - Country:US
Mailing Address - Phone:919-601-9849
Mailing Address - Fax:
Practice Address - Street 1:101 EVANS ESTATES DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-9630
Practice Address - Country:US
Practice Address - Phone:919-601-9849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14594225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics