Individual
STEPHANIE MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 101, MILWAUKIE, OR 97222-4628
(877) 311-1499
Mailing address
PO BOX 162071, SACRAMENTO, CA 95816-2071
(916) 599-4694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10235
CA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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