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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACITA KALLOS CLEMENA, PT

Active Sole Proprietor

GRACITA KALLOS CLEMENA, PT is a Physical Therapy Assistant healthcare provider located in MOUNTAIN HOUSE, California. NPI 1952665879 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MOUNTAIN HOUSE, CA

Registration Details

NPI Number
1952665879
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2012 (14.132668017299 yrs)
Last Updated
Jun 26, 2012
License
38300 (CA)
Sole Proprietor
Yes

Practice Information

Address
675 W REFINADO WAY
MOUNTAIN HOUSE, CA, 953913002
Browse CA providers · Browse ZIP 95391
Phone
3868463521
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MOUNTAIN HOUSE, CA

Name Credential NPI
MRS. SWATHI CHITTI PT 1841629854
MICHELLE CHOI 1366057085
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.