Gracita Kallos Clemena, PT

NPI #1952665879 in Mountain House, California

Provider Information

NPI Number: 1952665879
Entity Type: Individual
Name: Gracita Kallos Clemena, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 26, 2012
Last Updated: Jun 26, 2012

Practice Location

Address: 675 W REFINADO WAY
City: Mountain House
State: California
ZIP Code: 95391-3002
Phone: (386) 846-3521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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