Individual
ROBERT MALACHI CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
290 KEEL RD, GRANTSBORO, NC 28529-9424
(865) 776-4215
Mailing address
133 MORRIS CT, HAVELOCK, NC 28532-1727
(865) 776-4215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7392
NC
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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