Individual
MS. SALLY O CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2205 JEFFERSON DAVIS DR, OXFORD, MS 38655-5221
(662) 238-2800
(662) 238-2808
Mailing address
PO BOX 1016, OXFORD, MS 38655-5221
(662) 238-2800
(662) 238-2808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126119
—
MS
Enumeration date
06/30/2006
Last updated
11/11/2009
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