Doctor Name: | MRS. JOSEPHINE CLANCY |
NPI Number: | 1194933150 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT008016L |
Business Practice Address: | 1500 Lansdowne Ave Darby, PA - 190231200 |
Business Phone Number: | 6102374367 |
Business Fax Number: | |
Mailing Address: | 411 Reitnour Rd, SPRING CITY |
State: | PA |
Postal Code: | 194752707 |
Phone Number: | 6107929784 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT008016L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |