Individual
MS. MARTHA MARY CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
511 E 4TH ST, SHOSHONE, ID 83352-5380
(208) 886-2549
(208) 886-2228
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(888) 757-3422
(877) 282-1880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2633
ID
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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