Provider Demographics
NPI:1225042534
Name:CLAAR, KRISTINE K (OTR L, CHT, CLT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:K
Last Name:CLAAR
Suffix:
Gender:F
Credentials:OTR L, CHT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 2 BOX 354
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-9718
Mailing Address - Country:US
Mailing Address - Phone:814-742-2283
Mailing Address - Fax:
Practice Address - Street 1:157 BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2319
Practice Address - Country:US
Practice Address - Phone:301-722-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02813225XH1200X
PAOC-004696-L225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD529443-03OtherCAREFIRST BCBS
MD5481695OtherAETNA
S876 0003OtherFEDERAL BCBS
MD625325OtherMAMSI
MD5481695OtherAETNA