Individual
DAWN C MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1105 18TH ST, ALTOONA, PA 16601-2421
(814) 944-6535
Mailing address
1105 18TH ST, ALTOONA, PA 16601-2421
(814) 944-6535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012999L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018563450006
—
PA
01
—
140964VGH
GROUP PTAN NUMBER
PA
Enumeration date
04/07/2006
Last updated
11/14/2012
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