Individual
PATRICE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 GUM BRANCH RD STE G, JACKSONVILLE, NC 28540-4568
(910) 353-9800
Mailing address
1259 PINEY GREEN RD, JACKSONVILLE, NC 28546-4530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6449
NC
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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