Provider Demographics
NPI:1104048834
Name:ARNAN, CLAIRE DE MAE C (PT)
Entity type:Individual
Prefix:MS
First Name:CLAIRE DE MAE
Middle Name:C
Last Name:ARNAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CLAIRE DE MAE
Other - Middle Name:L
Other - Last Name:CATEDRAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4349 MENDAVIA DR
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-1782
Mailing Address - Country:US
Mailing Address - Phone:863-382-4999
Mailing Address - Fax:
Practice Address - Street 1:1281 W STRATFORD RD
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-8091
Practice Address - Country:US
Practice Address - Phone:863-452-1512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT111822251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics