Individual
CASEY CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5820
Mailing address
8155 GATEWOOD DR, CLAY, NY 13041-6906
(585) 245-4669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040540
NY
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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