Provider Demographics
NPI:1437434743
Name:EATON, CLAUDETTE PATRICIA (PT)
Entity type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:PATRICIA
Last Name:EATON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15389 SAN DIEGO DR
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4239
Mailing Address - Country:US
Mailing Address - Phone:561-676-6074
Mailing Address - Fax:
Practice Address - Street 1:15389 SAN DIEGO DR
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4239
Practice Address - Country:US
Practice Address - Phone:561-676-6074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT3633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist