Provider Demographics
NPI:1659355592
Name:SLAVINSKI, CLAIRE ELLEN (PT)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:ELLEN
Last Name:SLAVINSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:ELLEN
Other - Last Name:MCDONNELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:3132 NYS ROUTE 417
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1835
Mailing Address - Country:US
Mailing Address - Phone:716-372-6787
Mailing Address - Fax:716-372-3747
Practice Address - Street 1:3132 NYS ROUTE 417
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1835
Practice Address - Country:US
Practice Address - Phone:716-372-6787
Practice Address - Fax:716-372-3747
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0162351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist