Individual
MRS. CHANIN PAIGE CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8181 N PINE ISLAND RD, TAMARAC, FL 33321-1543
(954) 724-0595
(954) 724-0696
Mailing address
9735 NW 5TH CT, CORAL SPRINGS, FL 33071-6816
(954) 346-6076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19113
FL
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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