Individual
ISABELLLE GRACE MCCLENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1498 N BROADWAY ST, GREENVILLE, OH 45331-2454
(937) 548-9495
Mailing address
5410 FORT RECOVERY RD, HOUSTON, OH 45333-9667
(937) 658-2947
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA014145
OH
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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