Individual
AMY MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(678) 719-7000
(678) 719-7003
Mailing address
PO BOX 441146, KENNESAW, GA 30160-9522
(678) 403-3568
(678) 567-6737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012144
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13638315
CAQH
GA
01
—
PT31591
LICENSE
FL
Enumeration date
09/15/2015
Last updated
10/17/2017
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