Individual
CHESSON P CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
04724
LA
225100000X
Physical Therapist
Primary
14581
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04724
LA PT LICENSE
LA
Enumeration date
05/17/2006
Last updated
08/14/2024
Update your record
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