Provider Demographics
NPI:1851444970
Name:CLAYTON, HOPE (OTRL)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:ROBISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2708 MCNEELLY DR
Mailing Address - Street 2:
Mailing Address - City:VALDESE
Mailing Address - State:NC
Mailing Address - Zip Code:28690-9441
Mailing Address - Country:US
Mailing Address - Phone:828-433-9664
Mailing Address - Fax:
Practice Address - Street 1:2708 MCNEELLY DR
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-9441
Practice Address - Country:US
Practice Address - Phone:828-433-9664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0522225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301002Medicaid
NC1394COtherBLUE CROSS BLUE SHEILD