Provider Demographics
NPI:1992913248
Name:FENDERSON, CLAUDIA B (PT, EDD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:B
Last Name:FENDERSON
Suffix:
Gender:F
Credentials:PT, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-1024
Mailing Address - Country:US
Mailing Address - Phone:845-691-7999
Mailing Address - Fax:845-691-7999
Practice Address - Street 1:30 NORTH RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-1024
Practice Address - Country:US
Practice Address - Phone:845-691-7999
Practice Address - Fax:845-691-7999
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003549-1225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics