Provider Demographics
NPI:1215325659
Name:REESE, CLAUDIA LORENA
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LORENA
Last Name:REESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WINGATE WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2143
Mailing Address - Country:US
Mailing Address - Phone:845-691-6800
Mailing Address - Fax:
Practice Address - Street 1:3791 DOLAN WAY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46074
Practice Address - Country:US
Practice Address - Phone:317-268-8525
Practice Address - Fax:317-268-8520
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036215225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist