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Individual
PATRICIA SUSAN CLARK
Active
Individual
PATRICIA SUSAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
38938
CA
225100000X
Physical Therapist
CP010044T
WA
225100000X
Physical Therapist
Primary
CP014731T
GA
225100000X
Physical Therapist
PTL.0018065
CO
Other
Enumeration date
01/03/2022
Last updated
08/24/2022
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