Provider Demographics
NPI:1386887420
Name:CLEMENTE, JENNIFER E (PT)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:E
Last Name:CLEMENTE
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:2800 E DESERT INN RD
Mailing Address - Street 2:200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3608
Mailing Address - Country:US
Mailing Address - Phone:702-892-9077
Mailing Address - Fax:702-892-9044
Practice Address - Street 1:2930 W HORIZON RIDGE PKWY
Practice Address - Street 2:205
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5058
Practice Address - Country:US
Practice Address - Phone:702-597-8999
Practice Address - Fax:702-597-8988
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV2280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist