Provider Demographics
NPI:1679908289
Name:MORROW, CLAIRE ALEXANDRA (PT)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ALEXANDRA
Last Name:MORROW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:ALEXANDRA
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:99 MONTECILLO RD
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3308
Mailing Address - Country:US
Mailing Address - Phone:415-444-2962
Mailing Address - Fax:415-444-2556
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-2962
Practice Address - Fax:415-444-2556
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA405422251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic