Individual
DR. KATHLEEN MOORE CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1056 CINDER HILL WAY, SIERRA VISTA, AZ 85635-1498
(609) 420-7412
Mailing address
1056 CINDER HILL WAY, SIERRA VISTA, AZ 85635-1498
(609) 420-7412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12774PT
AZ
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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