Provider Demographics
NPI:1285801266
Name:LOVELADY, CLAIRE M (OTR/L)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:M
Last Name:LOVELADY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9318 E COLONIAL DR
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4100
Mailing Address - Country:US
Mailing Address - Phone:321-506-1760
Mailing Address - Fax:407-249-8916
Practice Address - Street 1:9318 E COLONIAL DR
Practice Address - Street 2:SUITE B-3
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4100
Practice Address - Country:US
Practice Address - Phone:321-506-1760
Practice Address - Fax:407-249-8916
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 13083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT 13083OtherPROFESSIONAL LICENSE