Individual
MRS. KAREN EILEEN MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1052
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y002723NH01
BLUE CROSS
NH
05
—
30391188
—
NH
01
—
NA1218
HARVARD PILGRIM
NH
Enumeration date
07/01/2006
Last updated
07/08/2007
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