NPI 1073862785

Carol Jean McClelland, PHYSICALTHERAPIST

Practitioner Specialist Boise, ID

Practice location

Address: 600 N Robbins Rd, Boise, ID 83702-4565
Phone: (208) 489-5800

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PT-548 (ID)

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Registry record

NPI: 1073862785
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2012
Record last updated: 17 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.