Doctor Name: | CLARA DENISE VANCE |
NPI Number: | 1174733000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2518 |
Business Practice Address: | 1110 W Will Rogers Blvd Claremore, OK - 740175421 |
Business Phone Number: | 9183423800 |
Business Fax Number: | 9183423900 |
Mailing Address: | 1110 W Will Rogers Blvd, CLAREMORE |
State: | OK |
Postal Code: | 740175421 |
Phone Number: | 9183423800 |
Fax Number: | 9183423900 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 12/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |