Provider Demographics
NPI:1174061584
Name:ADKINSON, CLAIRE (ATC, LAT)
Entity type:Individual
Prefix:MISS
First Name:CLAIRE
Middle Name:
Last Name:ADKINSON
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 OLD WESTMINSTER PIKE
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-1824
Mailing Address - Country:US
Mailing Address - Phone:410-861-4101
Mailing Address - Fax:
Practice Address - Street 1:2500 OLD WESTMINSTER PIKE
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048-1824
Practice Address - Country:US
Practice Address - Phone:410-861-4101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDA00013062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program