Individual
ANNE ASHLEY CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1815 E IRELAND RD STE 100, SOUTH BEND, IN 46614-2845
(574) 647-5790
(574) 647-5792
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009881A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201286700
—
IN
Enumeration date
03/26/2015
Last updated
02/14/2018
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