Clements, Roberta K

Clements, Roberta K is an individual health care provider with primary practice located at 25 Michigan St Ne Ste 3300 , Grand Rapids MI 49503-2558. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Clements, Roberta K can be contacted via phone (616) 459-4171.

Contact Information

Primary practice address
25 Michigan St Ne Ste 3300 Grand Rapids MI 49503-2558
Phone: (616) 459-4171
Fax: (616) 459-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1467545012
LBN Legal business name Clements, Roberta K
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467545012 NPPES
Michigan Other 002660 MICHIGAN LICENSE

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