Individual
MRS. TANYA L CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-4273
(207) 564-4274
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-4273
(207) 564-4274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2903
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061551
ANTHEM
ME
05
—
189660000
—
ME
05
—
432033799
—
ME
Enumeration date
03/09/2006
Last updated
06/14/2022
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