Doctor Name: | JOAN KRISTEN MCLOUD |
NPI Number: | 1144225509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT14724 |
Business Practice Address: | 1577 Roberts Dr Suite 320 Jacksonville Beach, FL - 322503264 |
Business Phone Number: | 9042473324 |
Business Fax Number: | 9048586489 |
Mailing Address: | 1325 San Marco Blvd, Suite 200 JACKSONVILLE |
State: | FL |
Postal Code: | 322078568 |
Phone Number: | 9043463465 |
Fax Number: | 9048586489 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT14724 |
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 |