Doctor Name: | MS. CLAIRE DE MAE C ARNAN |
NPI Number: | 1104048834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT11182 |
Business Practice Address: | 1281 W Stratford Rd Avon Park, FL - 338258091 |
Business Phone Number: | 8634521512 |
Business Fax Number: | |
Mailing Address: | 4349 Mendavia Dr, SEBRING |
State: | FL |
Postal Code: | 338721782 |
Phone Number: | 8633824999 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT11182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |