Provider Demographics
NPI:1780196485
Name:NASSUX, CLAIRE NICHOLE (OTR)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:NICHOLE
Last Name:NASSUX
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6722 PONCHA PASS
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-4250
Mailing Address - Country:US
Mailing Address - Phone:512-300-8041
Mailing Address - Fax:
Practice Address - Street 1:715 DISCOVERY BLVD STE 311
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2290
Practice Address - Country:US
Practice Address - Phone:512-260-6990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118717225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist