DIANE CLANCY

SAINT JOHN, IN
NPI1417220518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.004974)
Enumeration Date2012-02-20
Last Update Date2024-11-13
Business Address
DIANE CLANCY PTA
10820 PARK PL
SAINT JOHN, IN 46373-8630
Phone number: 708-349-8300
Mailing Address
DIANE CLANCY PTA
11634 W 105TH ST
SAINT JOHN, IN 46373-9113
Phone number:
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