Healthcare Provider Details

I. General information

NPI: 1619194271
Provider Name (Legal Business Name): JOSHUA ALAN CLELAND PT, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 MOORE ROAD
HILLSBORO NH
03244
US

IV. Provider business mailing address

47 MOORE RD
HILLSBORO NH
03244-4715
US

V. Phone/Fax

Practice location:
  • Phone: 603-785-5576
  • Fax:
Mailing address:
  • Phone: 603-785-5576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number2532
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: