Diane Clancy, PTA
NPI #1417220518 in Saint John, Indiana
Provider Information
- NPI Number
- 1417220518
- Entity Type
- Individual
- Name
- Diane Clancy, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 20, 2012
- Last Updated
- Nov 13, 2024
Practice Location
- Address
- 10820 PARK PL
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8630
- Phone
- (708) 349-8300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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