Provider Demographics
NPI:1356710214
Name:CHENEY, CLAIRE (PA)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:CHENEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:764 US ROUTE 1
Mailing Address - Street 2:UNIT 4
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-5883
Mailing Address - Country:US
Mailing Address - Phone:207-351-3078
Mailing Address - Fax:207-351-3083
Practice Address - Street 1:764 US ROUTE 1
Practice Address - Street 2:UNIT 4
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-5883
Practice Address - Country:US
Practice Address - Phone:207-351-3078
Practice Address - Fax:207-351-3083
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA4506225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant