Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BURT MICHAEL LACIVITA, M.S. OTR

Active Sole Proprietor

MR. BURT MICHAEL LACIVITA, M.S. OTR is a Hand Occupational Therapist healthcare provider located in WEST ORANGE, New Jersey. NPI 1659549095 is currently active in the NPPES registry. Verify at CMS.

Hand Occupational Therapist · WEST ORANGE, NJ

Registration Details

NPI Number: 1659549095
Provider Type: Individual
Gender: Male
NPI Issued: Feb 19, 2008 (18.440519232257 yrs)
Last Updated: Sep 24, 2009
License: 46TR00395600 (NJ)
Sole Proprietor: Yes

Practice Information

Address: 81 NORTHFIELD AVE

SUITE 104

WEST ORANGE, NJ, 070525342
Browse NJ providers · Browse ZIP 07052
Phone: 9733250229
Fax: 9733251105
Primary Specialty: Hand Occupational Therapist
225XH1200X

Other Hand Occupational Therapist Providers in WEST ORANGE, NJ

Name	Credential	NPI
MRS. MARIA D IGNACIO	OTRCHT	1649252016
SUET Y. LIM	OTR	1801042478

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.