Provider Demographics
NPI:1063484855
Name:LEFEBVRE, CHALON WESTCOTT (PT)
Entity type:Individual
Prefix:
First Name:CHALON
Middle Name:WESTCOTT
Last Name:LEFEBVRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 E ELM ST FL 2
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6518
Mailing Address - Country:US
Mailing Address - Phone:203-249-6374
Mailing Address - Fax:
Practice Address - Street 1:17 E ELM ST FL 2
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6518
Practice Address - Country:US
Practice Address - Phone:203-249-6374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-06
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006707225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist