Individual
CHRISTINE CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
150 W UNIVERSITY BLVD, MELBOURNE, FL 32901-6982
(321) 674-8438
Mailing address
150 W UNIVERSITY BLVD, MELBOURNE, FL 32901-6982
(321) 674-8438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001560
GA
Other
Enumeration date
12/08/2008
Last updated
07/25/2014
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