Individual
MS. ELSA MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
220 S COURTENAY PKWY STE B, MERRITT ISLAND, FL 32952-4893
(321) 434-5820
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-5820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129598400
—
FL
01
—
UJ966
MEDICARE HF
FL
Enumeration date
11/06/2007
Last updated
01/16/2026
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