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Stefan Mcclellan
NPI 1932890332 · on the registry since 2023
Practice
- Address
- 1530 Broad Ave
Gulfport, MS 39501 - Phone
- (228) 864-6544
- Organisation at this address
- Ms Hud Boyington, Llc
Pensacola Health Trust Inc
1530 Broad Avenue Operations, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi