Individual
STACEY RAE CLENDENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-1249
Mailing address
4321 AMBLER CIR, ANCHORAGE, AK 99504-4698
(907) 337-4323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1803
AK
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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