Individual provider · Type 1 NPI
Burt Michael Lacivita, M.S. OTR
Hand Occupational Therapist · West Orange, NJ
NPI number
1659549095
Active
Practice location
81 Northfield Ave, Suite 104
West Orange, NJ 07052-5342
Fax (973) 325-1105
Mailing address
141 S Centre St
South Orange, NJ 07079-2609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hand Occupational Therapist Primary | 225XH1200X | 46TR00395600 (NJ) |
Hand Occupational Therapist: Definition to come...
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Other hand occupational therapist providers in West Orange
About NPI 1659549095
Burt Michael Lacivita, M.S. OTR's National Provider Identifier is 1659549095, issued on Feb 19, 2008. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in West Orange, NJ. The record was last updated on Sep 24, 2009.