Provider Demographics
NPI:1457085961
Name:EGLER, CLAIRE SUZANNE
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:SUZANNE
Last Name:EGLER
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 1:4025 BRANDYCHASE WAY APT 333
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-4111
Mailing Address - Country:US
Mailing Address - Phone:812-827-4974
Mailing Address - Fax:
Practice Address - Street 1:4916 N BEND RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-2360
Practice Address - Country:US
Practice Address - Phone:513-693-1885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant