Provider Demographics
NPI:1285978940
Name:CIRRINCIONE, CLAUDIA (OTR/L)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:CIRRINCIONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:GOYERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:19 S MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9554
Mailing Address - Country:US
Mailing Address - Phone:847-426-6903
Mailing Address - Fax:
Practice Address - Street 1:19 S MEADOW CT
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9554
Practice Address - Country:US
Practice Address - Phone:847-426-6903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.002264225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist