Individual
ANDREA CLEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11649 S 252ND WEST AVE, SAPULPA, OK 74066-7980
(918) 637-3136
Mailing address
11649 S 252ND WEST AVE, SAPULPA, OK 74066-7980
(918) 637-3136
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2499
OK
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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