Individual
MS. JESSICA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.T., A.T.C.
Contact information
Practice address
1561 MEDICAL DR, POTTSTOWN, PA 19464-3218
(610) 792-9292
(610) 792-9293
Mailing address
1561 MEDICAL DR, POTTSTOWN, PA 19464-3218
(610) 792-9292
(610) 792-9293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004952
PA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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