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Individual

JENA L CLANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1300 VETERANS BLVD, SUITE C, FESTUS, MO 63028-2394
(636) 931-2100
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016022800
MO

Other

Enumeration date
05/24/2016
Last updated
09/27/2016
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