Francine Renee Clayton, OT

Individual provider Active NPI Contractor · Forest Hill, MD

NPI 1134428394 · NPPES record last updated Mar 26, 2011

Key facts

NPI
1134428394
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
05310 (MD)
Practice address
22 Newport Dr
Forest Hill, MD 21050-1642
Phone
(443) 752-1617
Fax
(410) 727-2186
NPI assigned
Mar 26, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
05310MDMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Mobility, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 05310 MD Yes

Addresses

Primary practice location

22 Newport Dr
Forest Hill, MD 21050-1642

Mailing address

402 Poplar Grove PL
Bel Air, MD 21014-2768
Phone (443) 752-1617

Other providers in Forest Hill, MD

All providers in Forest Hill, MD · Contractor in Maryland

Sources for this page

Verify at the official NPI Registry.