Individual
MRS. SUSAN DIANE CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141-3204
(440) 526-3030
Mailing address
6015 WILD OAK DR, NORTH OLMSTED, OH 44070-3817
(440) 777-4403
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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