Provider Demographics
NPI:1487960472
Name:LEFEVRE, DARCY MARIE (COTA)
Entity type:Individual
Prefix:MRS
First Name:DARCY
Middle Name:MARIE
Last Name:LEFEVRE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MS
Other - First Name:DARCY
Other - Middle Name:MARIE
Other - Last Name:BRAMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:16 LOCKHART LN
Mailing Address - Street 2:HIGHLAND ELEMENTARY SCHOOL OCCUPATIONAL THERAPY DEPT.
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-1008
Mailing Address - Country:US
Mailing Address - Phone:845-691-1070
Mailing Address - Fax:845-691-1073
Practice Address - Street 1:16 LOCKHART LN
Practice Address - Street 2:HIGHLAND ELEMENTARY SCHOOL OCCUPATIONAL THERAPY DEPT.
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-1008
Practice Address - Country:US
Practice Address - Phone:845-691-1072
Practice Address - Fax:845-691-1073
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002639-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant