Individual
JAMIE CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5565 TANCHO DR, MADISON, WI 53718-1901
(608) 230-4000
Mailing address
4577 HAWK HAVEN RD, STEVENS POINT, WI 54482-8768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16092
WI
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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