Organization
CLEMENS PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARNIE CLEMENS PT,DPT (OWNER)
(304) 842-6008
Entity
Organization
Contact information
Practice address
302 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-6008
(304) 842-0060
Mailing address
302 W MAIN ST, BRIDGEPORT, WV 26330-1751
(304) 842-6008
(304) 842-0060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001091
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157976001
—
WV
Enumeration date
11/30/2006
Last updated
08/22/2020
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