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Individual
KATHLEEN ROSE LAVELLE
Active
Individual
KATHLEEN ROSE LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01085001
NY
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011174501
UNIVERA
NY
01
—
000670089001
BLUE CROSS BLUE SHIELD
NY
05
—
02143882
—
NY
01
—
040426003615
FIDELIS
NY
01
—
827101
MANAGED PHYSICAL NETWORK
NY
01
—
9611230
IHA
NY
Enumeration date
04/20/2006
Last updated
02/27/2025
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