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Individual

MR. ERIC F CLELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1983 COMMERCE CENTER CIR, PRESCOTT, AZ 86301-4454
(928) 771-1700
(928) 771-9900
Mailing address
1983 COMMERCE CENTER CIR, PRESCOTT, AZ 86301-4454
(928) 771-1700
(928) 771-9900

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5626
AZ
225100000X
Physical Therapist
PT 8290
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
679951
AZ
Enumeration date
12/12/2005
Last updated
08/03/2020
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