Basic Information
Provider Information
NPI: 1265024350
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARLING
FirstName: CLAIRE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: COTA/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8 TOWN SQUARE BLVD APT 402
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288035085
CountryCode: US
TelephoneNumber: 9192592298
FaxNumber:  
Practice Location
Address1: 115 N COUNTRY CLUB RD
Address2:  
City: BREVARD
State: NC
PostalCode: 287128990
CountryCode: US
TelephoneNumber: 8288842031
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/09/2021
LastUpdateDate: 02/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
224Z00000X12153NCN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 
224Z00000X5071CAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 
224Z00000X5118SCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 

No ID Information.


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