Individual
DIANN M CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4439 AVENUE OF THE CITIES, MOLINE, IL 61265-4549
(309) 743-0106
(309) 743-0108
Mailing address
850 43RD AVE, SUITE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004932
IA
225100000X
Physical Therapist
Primary
070018971
IL
Other
Enumeration date
12/22/2011
Last updated
03/07/2012
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