Provider Demographics
NPI:1750701819
Name:WALD, CLAIRE MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:MARIE
Last Name:WALD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9110 PHILADELPHIA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4325
Mailing Address - Country:US
Mailing Address - Phone:410-282-7600
Mailing Address - Fax:410-282-4802
Practice Address - Street 1:9110 PHILADELPHIA RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4301
Practice Address - Country:US
Practice Address - Phone:410-282-7600
Practice Address - Fax:410-282-4802
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14783225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist