Individual
DR. BRENDA SUE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MTC
Contact information
Practice address
1827 HARRISON AVE, BUILDING 4, PANAMA CITY, FL 32405-7605
(850) 872-7022
(850) 872-7021
Mailing address
1827 HARRISON AVE, BUILDING 4, PANAMA CITY, FL 32405-7605
(850) 872-7022
(850) 872-7021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2288818
AETNA
FL
01
—
Y909J
BCBS PROVIDER NUMBER
FL
Enumeration date
10/13/2005
Last updated
09/25/2013
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