TIMITHY MARK MCCLELLAN

PHILADELPHIA, PA
NPI1609452564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: PA  OS024117)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  OT022008)
Enumeration Date2021-03-22
Last Update Date2025-04-18
Business Address
TIMITHY MARK MCCLELLAN DO
25 S 9TH ST
PHILADELPHIA, PA 19107-4408
Phone number: 215-955-1200
Mailing Address
TIMITHY MARK MCCLELLAN DO
25 S 9TH ST
PHILADELPHIA, PA 19107-4408
Phone number: 215-955-1200