| NPI | 1366016834 |
|---|---|
| Former Name | ANNA NOELLE CLANCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2478) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-08-17 |