Individual
NATALIE CLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 EXECUTIVE WAY, SUITE 109, PONTE VEDRA, FL 32082-2715
(904) 543-9011
Mailing address
100 EXECUTIVE WAY, SUITE 109, PONTE VEDRA, FL 32082-2715
(904) 543-9011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25822
FL
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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