NPI Code Detail JSON Logo

1194591958 NPI number — CLAIRE THERESE BRONNER OTR

NPI Number: 1194591958
Health Care Provider/Practitioner: CLAIRE THERESE BRONNER OTR

Information about “1194591958” NPI (CLAIRE THERESE BRONNER OTR) exists in 1194591958 in HTML format HTML  |  1194591958 in plain Text format TXT  |  1194591958 in PDF (Portable Document Format) PDF  |  1194591958 in an XML format XML  formats.

NPI Number : 1194591958 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194591958",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRONNER",
    "FirstName": "CLAIRE",
    "MiddleName": "THERESE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RYAN",
    "OtherFirstName": "CLAIRE",
    "OtherMiddleName": "THERESE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9368 N LILLEY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLYMOUTH",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48170-4610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-462-3240",
    "MailingAddressFaxNumber": "734-462-3831",
    "FirstLinePracticeLocationAddress": "37250 5 MILE RD UNIT D-1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIVONIA",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48154-1848",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-462-3240",
    "PracticeLocationAddressFaxNumber": "734-462-3831",
    "EnumerationDate": "12/01/2023",
    "LastUpdateDate": "06/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "5201014204",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225XH1200X",
          "TaxonomyName": "Hand Occupational Therapist",
          "LicenseNumber": "122986",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.