Individual
RALPH PAUL CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3101 PLUMAS ST, RENO, NV 89509-4515
(702) 556-1605
Mailing address
30302 BUMBLE BEE DR, GEORGETOWN, TX 78628-3718
(702) 556-1605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0648
NV
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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