MEDICARE: DR. DANIELLE CLARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT871497	DC

General Provider Information

NPI Number	:	1255766622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE CLARE

Provider Business Mailing Address
First Line	:	3301 NEW MEXICO AVE NW STE 318
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3624
Country	:	US
Telephone Number	:	202-363-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 NEW MEXICO AVE NW STE 318
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3624
Country	:	US
Telephone Number	:	202-363-0454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2013
Last Update Date	:	11/26/2013

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Directions to “ DR. DANIELLE CLARE ” Practice Location

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