Individual
DAN MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5608 FAIRWAY DR, FARMINGTON, NM 87402-5027
(505) 459-3788
Mailing address
5608 FAIRWAY DR, FARMINGTON, NM 87402-5027
(505) 459-3788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4696
NM
Other
Enumeration date
09/25/2015
Last updated
09/23/2025
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