Provider Demographics
NPI:1235258146
Name:WORD, CLAUDIA ROBIN (LPTA)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:ROBIN
Last Name:WORD
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:MS
Other - First Name:CLAUDIA
Other - Middle Name:ROBIN
Other - Last Name:DIVELBISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:3803 PECAN ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-2627
Mailing Address - Country:US
Mailing Address - Phone:757-686-0629
Mailing Address - Fax:
Practice Address - Street 1:305 MARCELLA RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2433
Practice Address - Country:US
Practice Address - Phone:757-825-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306000987225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant