Provider Demographics
NPI:1518154079
Name:WHEELER, CLAUDIA ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ANN
Last Name:WHEELER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CLAUDIA
Other - Middle Name:ANN
Other - Last Name:WHEELER ELSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:765 ALLENS AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-5443
Mailing Address - Country:US
Mailing Address - Phone:401-606-4150
Mailing Address - Fax:401-270-4681
Practice Address - Street 1:765 ALLENS AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-5443
Practice Address - Country:US
Practice Address - Phone:401-606-4150
Practice Address - Fax:401-270-4681
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225131208100000X
RIDO00623208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation