Individual
MS. AMY JAVON CLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1756 ZAHNS CORNER RD, PIKETON, OH 45661-9755
(740) 289-1699
Mailing address
1756 ZAHNS CORNER RD, PIKETON, OH 45661-9755
(740) 289-1699
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50189
OH
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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