| Mrs Mary Agnes Severino-clemente, PT | |
|
11442 White Oak Ave, Granada Hills, CA 91344-3334 | |
| (818) 687-8981 | |
| (818) 435-2081 |
| Full Name | Mrs Mary Agnes Severino-clemente |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11442 White Oak Ave, Granada Hills, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235278334 | NPI | - | NPPES |
| PT21507 | Other | CA | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21507 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Agnes Severino-clemente, PT 11442 White Oak Ave, Granada Hills, CA 91344-3334 Ph: (818) 687-8981 | Mrs Mary Agnes Severino-clemente, PT 11442 White Oak Ave, Granada Hills, CA 91344-3334 Ph: (818) 687-8981 |
Colleen Ann Duran, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15915 Devonshire St, Granada Hills, CA 91344 Phone: 717-826-2826 | |
Jordan Wilhelm, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10725 Zelzah Ave Unit B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Mari Iyama, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Evan Filice, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Andrei Carballo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10725 Zelzah Ave Ste B, Granada Hills, CA 91344 Phone: 818-832-8383 | |
Mr. Kirk Maroy Briggs, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd, Suite 330, Granada Hills, CA 91344 Phone: 818-832-7298 Fax: 818-832-7249 | |
Lorrinne Pinlac, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15912 Harvest St, Granada Hills, CA 91344 Phone: 818-636-2260 |