Individual
CAROLINE MCCLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
2041 NEWCASTLE AVE, CARDIFF, CA 92007-1762
(760) 230-5432
Mailing address
2041 NEWCASTLE AVE, CARDIFF, CA 92007-1762
(760) 230-5432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FJ9518
MEDICARE PTAN
CA
Enumeration date
05/15/2006
Last updated
02/14/2012
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