Provider Demographics
NPI:1396771408
Name:FISHMAN, CLAIRE MARGARET (DOCTOR OF PT, PT)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:MARGARET
Last Name:FISHMAN
Suffix:
Gender:F
Credentials:DOCTOR OF PT, PT
Other - Prefix:MS
Other - First Name:CLAIRE
Other - Middle Name:MARGARET
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2 KATHLEEN DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2269
Mailing Address - Country:US
Mailing Address - Phone:732-994-4198
Mailing Address - Fax:732-994-4199
Practice Address - Street 1:2 KATHLEEN DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2269
Practice Address - Country:US
Practice Address - Phone:732-979-4116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00907300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist