MEDICARE: MRS. CLARE JANE CLOR P.T.

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	5501011117	MI

General Provider Information

NPI Number	:	1497874432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLARE JANE CLOR P.T.

Provider Business Mailing Address
First Line	:	33900 HARPER AVE
Second Line	:	SUITE 104
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035-4258
Country	:	US
Telephone Number	:	586-416-9100
Fax Number	:	586-416-9103

Provider Business Practice Location Address
First Line	:	2221 LIVERNOIS RD STE 103
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48083-1603
Country	:	US
Telephone Number	:	248-988-4410
Fax Number	:	248-988-4411

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	01/23/2025

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