Individual
BRAEDEN LEE CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6530 W LOOP 1604 N, SAN ANTONIO, TX 78254-6319
(210) 476-5577
Mailing address
6404 ASPEN HL, SAN ANTONIO, TX 78238-5401
(435) 531-0821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1385132
TX
2251X0800X
Orthopedic Physical Therapist
1385132
TX
Other
Enumeration date
01/27/2023
Last updated
12/11/2023
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