Individual
MRS. JESSICA LYNN MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3652 STARDUST DR, HANNIBAL, MO 63401-6212
(573) 221-8800
(573) 221-1808
Mailing address
3652 STARDUST DR, HANNIBAL, MO 63401-6212
(573) 221-8800
(573) 221-1808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011021957
MO
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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