Individual
MRS. REGINA MAE LEFAUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19772 ONE NORMAN BLVD, CORNELIUS, NC 28031
(980) 306-5300
Mailing address
514 WILLIAMSON RD, SUITE 431, MOORESVILLE, NC 28117-9225
(704) 641-4461
(704) 896-2686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5366
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1372T
BCBS
—
01
—
2414673
UNITED HEALTHCARE
—
01
—
7379530
AETNA
—
01
—
D8766
MEDCOST
—
Enumeration date
11/30/2005
Last updated
08/07/2023
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