Individual
CHESSON P CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
1455 E PUTNAM AVE, OLD GREENWICH, CT 06870-1360
(203) 817-0196
(203) 817-0199
Mailing address
102 WOODLAND HWY STE 1, BELLE CHASSE, LA 70037-1674
(504) 392-7000
(504) 584-7747
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
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