| NPI | 1831667914 |
|---|---|
| Former Name | ELIZABETH ANN CLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212480) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT210002399) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-11-05 |