| NPI | 1952899148 |
|---|---|
| Former Name | FELICIA CLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT004784) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2025-02-11 |