Stacie Clark MPT

NPI 1770599292 - Physical Therapist - 225100000X

NPI Details
NPI 1770599292
Gender Female
Enumeration Date 08/01/2006
Last Updated 02/18/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2447 MERCER ST
STONEBORO PA, 16153-2711, US
Phone (724) 376-3666
Fax (724) 376-2460
Business Location
3449 HADLEY RD
HADLEY PA, 16130-2821, US
Phone (724) 253-1044
Fax
Toxanomy
Taxonomy Code 225100000X
License State Pennsylvania
License Number PT06825
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According to our database, Stacie Clark MPT NPI is 1770599292, taxonomy code is 225100000X and license number is PT06825, license state is located at Pennsylvania. Stacie Clark MPT physically located at 2447 Mercer St, Stoneboro PA, 16153-2711. NPI Number Stacie Clark MPT has the Individual type.

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1770599292 NPI number is provided on an as is basis without warranty of any kind. 1770599292 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie Clark MPT are for informational purposes only.