Individual
JUSTIN CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
NEEDS ADDRESS, GREENWOOD, IN 46227
(317) 000-0000
Mailing address
NEED AN ADDRESS, NEEDS CITY, MI 00000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012446A
IN
Other
Enumeration date
12/05/2017
Last updated
08/01/2022
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