MEDICARE: MS. CYNTHIA GAIL CLAUS OTR/L

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	225X00000X	Occupational Therapist	0087	AZ

General Provider Information

NPI Number	:	1730493883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA GAIL CLAUS OTR/L

Provider Business Mailing Address
First Line	:	5414 E GROVERS AVE
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-5828
Country	:	US
Telephone Number	:	602-809-5390
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 E THOMAS RD
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7511
Country	:	US
Telephone Number	:	480-941-2222
Fax Number	:

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

Provider Enumeration Date	:	07/31/2010
Last Update Date	:	07/31/2010

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