| Mr Burt Michael Lacivita, MS OTR | |
|
81 Northfield Ave, Suite 104, West Orange, NJ 07052-5342 | |
| (973) 325-0229 | |
| (973) 325-1105 |
| Full Name | Mr Burt Michael Lacivita |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Hand |
| Location | 81 Northfield Ave, West Orange, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659549095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | 46TR00395600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Burt Michael Lacivita, MS OTR 141 S Centre St, South Orange, NJ 07079-2609 Ph: (201) 923-7533 | Mr Burt Michael Lacivita, MS OTR 81 Northfield Ave, Suite 104, West Orange, NJ 07052-5342 Ph: (973) 325-0229 |
Kevin Mukalel, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 563 Northfield Ave, West Orange, NJ 07052 Phone: 973-243-2060 | |
Alyssa Marie Attanasio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Rachel Dionna Portee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1094 Smith Manor Blvd, West Orange, NJ 07052 Phone: 609-845-4776 | |
Julianne Couch, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Mary Cabarle, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Syndi Lyn Granger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Katherine Mcguire, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-731-5100 |