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General NPI Number Information
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NPI Number | 1023991668
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Entity Type | Individual
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Provider Name | COURTNEY MARIE CLEMENS OTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1804 WASHINGTON BLVD STE E
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City | BELPRE
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State | OH
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Zip | 45714-3501
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Country | US
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Telephone | 740-423-3084
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 N FINLEY RD
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City | MALTA
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State | OH
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Zip | 43758-9130
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Country | US
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Telephone | 740-517-0362
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2422
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT012712
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License Number State | OH
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