Provider Demographics
NPI:1205668183
Name:DAVENPORT, CLARA JAYNE (OTD)
Entity type:Individual
Prefix:DR
First Name:CLARA
Middle Name:JAYNE
Last Name:DAVENPORT
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4244 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-2048
Mailing Address - Country:US
Mailing Address - Phone:415-806-4032
Mailing Address - Fax:
Practice Address - Street 1:4244 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-2048
Practice Address - Country:US
Practice Address - Phone:415-806-4032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist