Individual
CORI LEE CLEMENS-ROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8811 N 51ST AVE STE 102, GLENDALE, AZ 85302-4949
(623) 915-2726
(623) 915-2728
Mailing address
8811 N 51ST AVE STE 102, GLENDALE, AZ 85302-4949
(623) 915-2726
(623) 915-2728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8286A
AZ
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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