Individual
MICHAEL CLEVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 RIDGEWOOD DR, SALEM, VA 24153-7126
(540) 387-4945
Mailing address
2325 MEMORIAL AVE SW APT 93, ROANOKE, VA 24015-1916
(540) 598-6960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601271
VA
Other
Enumeration date
07/06/2014
Last updated
07/06/2014
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