BURT MICHAEL LACIVITA

WEST ORANGE, NJ
NPI1659549095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: NJ  46TR00395600)
Enumeration Date2008-02-19
Last Update Date2009-09-24
Business Address
Mr. BURT MICHAEL LACIVITA M.S. OTR
81 NORTHFIELD AVE SUITE 104
WEST ORANGE, NJ 07052-5342
Phone number: 973-325-0229
Mailing Address
Mr. BURT MICHAEL LACIVITA M.S. OTR
141 S CENTRE ST
SOUTH ORANGE, NJ 07079-2609
Phone number: 201-923-7533
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