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CAROLINE MCCLEMONS M.P.T.
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1982655742
Individual Registrant: CAROLINE MCCLEMONS M.P.T.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2041 NEWCASTLE AVE CARDIFF, CA 92007-1762 US
Tel: 760-230-5432 Fax: --
Tel: 760-230-5432 Fax: --
Contact information for business:
2041 NEWCASTLE AVE CARDIFF, CA 92007-1762 US
Tel: 760-230-5432 Fax: --
Tel: 760-230-5432 Fax: --
Registration Information:
NPI: 1982655742
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | PT19272 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE PTAN | FJ9518 | CA | 01 |
