Provider Demographics
NPI:1740991173
Name:GRAZIANO, CLAIRE BATEMAN (MSOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:BATEMAN
Last Name:GRAZIANO
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 UNDERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5028
Mailing Address - Country:US
Mailing Address - Phone:240-393-0130
Mailing Address - Fax:
Practice Address - Street 1:10605 CONCORD ST STE 102
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2500
Practice Address - Country:US
Practice Address - Phone:240-393-0130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09493225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
09493OtherLICENSE NUMBER FOR MD