Provider Demographics
NPI:1992137996
Name:MCCLANAHAN, ABBEY JONES (DPT)
Entity type:Individual
Prefix:DR
First Name:ABBEY
Middle Name:JONES
Last Name:MCCLANAHAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 OLDE WATERFORD WAY # B
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-4167
Mailing Address - Country:US
Mailing Address - Phone:910-679-3212
Mailing Address - Fax:877-718-8984
Practice Address - Street 1:1003 OLDE WATERFORD WAY # B
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451
Practice Address - Country:US
Practice Address - Phone:910-679-3212
Practice Address - Fax:877-718-8984
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208121225100000X
NCP17901225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist