Individual
KRISTINA KEHOSKIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 BENNOCH RD, ORONO, ME 04473-3620
(207) 866-0532
Mailing address
185 OLD MILITARY RD, LAKE PLACID, NY 12946-1939
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
039523
NY
Other
Enumeration date
10/04/2011
Last updated
12/07/2016
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