Healthcare Provider Details

I. General information

NPI: 1558323766
Provider Name (Legal Business Name): CLAIRE DANIELLE BARTHELMESS MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33195 LIGHTHOUSE RD SUITE 7
SELBYVILLE DE
19975-4071
US

IV. Provider business mailing address

350 NEW FIDELITY CT
GARNER NC
27529-2665
US

V. Phone/Fax

Practice location:
  • Phone: 302-436-0901
  • Fax: 302-436-0902
Mailing address:
  • Phone: 919-258-2714
  • Fax: 410-648-4878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ10001395
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: