Provider Demographics
NPI:1144954785
Name:CLAIN, PETER (MPT)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:CLAIN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 READING CT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1718
Mailing Address - Country:US
Mailing Address - Phone:610-388-2395
Mailing Address - Fax:
Practice Address - Street 1:775 READING CT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-1718
Practice Address - Country:US
Practice Address - Phone:610-388-2395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist