Gena Ann Clemons PTA

NPI 1326203506 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1326203506
Gender Male
Enumeration Date 07/27/2008
Last Updated 07/27/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
714 JEFFERSON AVE E
CARTHAGE TN, 37030-1303, US
Phone (615) 735-8003
Fax
Business Location
714 JEFFERSON AVE E
CARTHAGE TN, 37030-1303, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Tennessee
License Number 3354
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According to our database, Gena Ann Clemons PTA NPI is 1326203506, taxonomy code is 225200000X and license number is 3354, license state is located at Tennessee. Gena Ann Clemons PTA physically located at 714 Jefferson Ave E, Carthage TN, 37030-1303. NPI Number Gena Ann Clemons PTA has the Individual type.

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1326203506 NPI number is provided on an as is basis without warranty of any kind. 1326203506 is maintained by the National Plan & Provider Enumeration System. The contents of Gena Ann Clemons PTA are for informational purposes only.