MRS. Mary Agnes Severino-Clemente, PT

NPI #1235278334 in Granada Hills, California

Provider Information

NPI Number: 1235278334
Entity Type: Individual
Name: MRS. Mary Agnes Severino-Clemente, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11442 WHITE OAK AVE
City: Granada Hills
State: California
ZIP Code: 91344-3334
Phone: (818) 687-8981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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