Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Agnes Severino-Clemente, PT

Individual provider Physical Therapist · NPI 1235278334

Mrs. Mary Agnes Severino-Clemente, PT is a Physical Therapist in Granada Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

11442 White Oak Ave
Granada Hills, CA 91344-3334
Phone: (818) 687-8981
Fax: (818) 435-2081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT21507 (CA)

Record details

NPI number1235278334
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJuly 8, 2007

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