Amanata C Clarke PT, DPT

NPI 1790915312 - Physical Therapist - 2251P0200X

NPI Details
NPI 1790915312
Gender Female
Enumeration Date 07/16/2009
Last Updated 07/16/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
255 EXECUTIVE DR
PLAINVIEW NY, 11803-1718, US
Phone (516) 576-2040
Fax
Business Location
255 EXECUTIVE DR
PLAINVIEW NY, 11803-1718, US
Phone (516) 576-2040
Fax
Toxanomy
Taxonomy Code 2251P0200X
License State New York
License Number 031340
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According to our database, Ms. Amanata C Clarke PT, DPT NPI is 1790915312, taxonomy code is 2251P0200X and license number is 031340, license state is located at New York. Amanata C Clarke PT, DPT physically located at 255 Executive Dr, Plainview NY, 11803-1718. NPI Number Amanata C Clarke PT, DPT has the Individual type.

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1790915312 NPI number is provided on an as is basis without warranty of any kind. 1790915312 is maintained by the National Plan & Provider Enumeration System. The contents of Amanata C Clarke PT, DPT are for informational purposes only.