Individual
MRS. ELIZABETH ANNE CLEMENS
Active
Individual
MRS. ELIZABETH ANNE CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007227
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142109
LABOR AND INDUSTRIES
WA
01
—
4131
MOLINA HEALTHCARE OF WA
WA
05
—
8334815
—
WA
01
—
8901755
CRIME VICTIMS COMP
WA
Enumeration date
07/06/2006
Last updated
07/08/2007
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