Provider Demographics
NPI:1811434129
Name:DAVIS, CLAUDIAN J (DPT)
Entity type:Individual
Prefix:DR
First Name:CLAUDIAN
Middle Name:J
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CLAUDIAN
Other - Middle Name:J
Other - Last Name:EDMONDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8208 MCCARRON WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-8716
Mailing Address - Country:US
Mailing Address - Phone:704-565-9192
Mailing Address - Fax:844-230-6504
Practice Address - Street 1:8208 MCCARRON WAY
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-8716
Practice Address - Country:US
Practice Address - Phone:704-565-9192
Practice Address - Fax:844-230-6504
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP146802251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics