Organization
CLEMONS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CLEMONS D.P.T (SOLE OWNER/PHYSICAL THERAPIST)
(614) 353-7681
Entity
Organization
Contact information
Practice address
4620 POCO CT, CUMMING, GA 30040-0458
(614) 353-7681
Mailing address
4620 POCO CT, CUMMING, GA 30040-0458
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT009211
GA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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