NPI Profile for GREGORY L MCCLELLAN in WINSTON-SALEM, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Human Factors |
2251H1300X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1366718314 |
|
| Status | Active | |
| Credentials | PT (Physical Therapist) | |
| Entity | Individual | |
| Enumeration date | 03/23/2012 | |
| Last updated | 03/23/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GREGORY L MCCLELLAN
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