Individual
CAROL JEAN MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-5800
Mailing address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-5800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-548
ID
Other
Enumeration date
09/10/2012
Last updated
02/17/2014
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