Doctor Name: | MR. DAN EVAN MCCLANAHAN |
NPI Number: | 1144389255 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 525 |
Business Practice Address: | 9201 Montgomery Blvd Ne Suite 302 Albuquerque, NM - 871112468 |
Business Phone Number: | 5052936262 |
Business Fax Number: | 5052936622 |
Mailing Address: | 9201 Montgomery Blvd Ne, Suite 302 ALBUQUERQUE |
State: | NM |
Postal Code: | 871112468 |
Phone Number: | 5052936262 |
Fax Number: | 5052936622 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |