Doctor Name: | MAUREEN A MCCLERNON |
NPI Number: | 1083895080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0010163 |
Business Practice Address: | 35 Old Kings Rd N Palm Coast, FL - 321378227 |
Business Phone Number: | 3894455555 |
Business Fax Number: | 3864459800 |
Mailing Address: | 35 Old Kings Rd N, PALM COAST |
State: | FL |
Postal Code: | 321378227 |
Phone Number: | 3894455555 |
Fax Number: | 3864459800 |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 11/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0010163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |