Doctor Name: | MRS. TANYA L CLEMENT |
NPI Number: | 1952379596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT2903 |
Business Practice Address: | 1012 Union St Bangor, ME - 04401 |
Business Phone Number: | 2079455247 |
Business Fax Number: | 2079901248 |
Mailing Address: | Po Box 1599, BANGOR |
State: | ME |
Postal Code: | 044021599 |
Phone Number: | 2079455247 |
Fax Number: | 2079470435 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |