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NPI Code Detail

MEDICARE: JULIA ANN LAVELLE OTR/L

MEDICARE:   JULIA ANN LAVELLE  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist030951NY

General Provider Information

NPI Number : 1679426365
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ANN LAVELLE OTR/L
Provider Business Mailing Address
First Line : 20111 23RD AVE
Second Line :
City : BAYSIDE
State : NY
Zip : 11360-1301
Country : US
Telephone Number : 347-696-5577
Fax Number :
Provider Business Practice Location Address
First Line : 445 LENOX RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2017
Country : US
Telephone Number : 347-696-5577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ JULIA ANN LAVELLE OTR/L” Practice Location

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