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Organization
STEPH WHITE CLARK DPT LLC
Active
Organization
STEPH WHITE CLARK DPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MARIE CLARK PT, DPT, OCS (PHYSICAL THERAPIST/OWNER)
(352) 817-2512
Entity
Organization
Contact information
Practice address
917 GRANT AVE, MEDFORD, OR 97501-3407
(352) 817-2512
Mailing address
917 GRANT AVE, MEDFORD, OR 97501-3407
(352) 817-2512
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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