| NPI | 1700053170 |
|---|---|
| Former Name | ANNE MCCLELLAN NICOLAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 1523) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 386) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2011-10-04 |