Basic Information
Provider Information
NPI: 1508882762
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINCHER
FirstName: CLAY
MiddleName: WARREN
NamePrefix: DR.
NameSuffix:  
Credential: D.P.T
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 919 E WATSON DR
Address2:  
City: TEMPE
State: AZ
PostalCode: 852833061
CountryCode: US
TelephoneNumber: 4802328876
FaxNumber:  
Practice Location
Address1: 650 E INDIAN SCHOOL RD
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850121839
CountryCode: US
TelephoneNumber: 6022775551
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X5715AZY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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