| Doctor Name: | ERIC F CLELAND |
| NPI Number: | 1215912498 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT 8290 |
| Business Practice Address: | 1231 Willow Creek Rd Suite B Prescott, AZ - 863011404 |
| Business Phone Number: | 9287712977 |
| Business Fax Number: | 9287712987 |
| Mailing Address: | 1223 Willow Creek Rd, PRESCOTT |
| State: | AZ |
| Postal Code: | 863011427 |
| Phone Number: | 9287779950 |
| Fax Number: | 9287779975 |
| NPI Enumeration Date: | 12/12/2005 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 8290 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| 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 |