Provider Demographics
NPI:1962675546
Name:STOWELL, CLAIRE GAISFORD (MSPT)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:GAISFORD
Last Name:STOWELL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5072 STONE CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4313
Mailing Address - Country:US
Mailing Address - Phone:714-337-4511
Mailing Address - Fax:714-701-0814
Practice Address - Street 1:5072 STONE CANYON AVE
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-4313
Practice Address - Country:US
Practice Address - Phone:714-337-4511
Practice Address - Fax:714-701-0814
Is Sole Proprietor?:No
Enumeration Date:2008-04-04
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist