Individual
MRS. LISA MARIE CLEMENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4020 BUTLER HILL RD, SAINT LOUIS, MO 63129-1500
(314) 487-6623
(314) 487-6644
Mailing address
14450 S OUTER 40 RD, CHESTERFIELD, MO 63017-5711
(314) 434-6060
(314) 434-6066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008008297
MO
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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