Provider Demographics
NPI:1427438720
Name:DOSS, CLARE ANASTASIA (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:CLARE
Middle Name:ANASTASIA
Last Name:DOSS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 COUNTY ROAD 513
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72616-9377
Mailing Address - Country:US
Mailing Address - Phone:870-350-3905
Mailing Address - Fax:
Practice Address - Street 1:210 RICE ST
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:AR
Practice Address - Zip Code:72616-4388
Practice Address - Country:US
Practice Address - Phone:870-423-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT4803225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist