Provider Demographics
NPI:1235464975
Name:CLEMENTS, AURORA ANNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:AURORA
Middle Name:ANNE
Last Name:CLEMENTS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:AURORA
Other - Middle Name:ANNE
Other - Last Name:HEINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1811 JAMESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-2326
Mailing Address - Country:US
Mailing Address - Phone:757-299-9991
Mailing Address - Fax:
Practice Address - Street 1:4240 ALTAMONT PL STE 104
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3052
Practice Address - Country:US
Practice Address - Phone:301-893-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23052062052251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic