Individual
MS. MARY LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
85 BARNES RD, SUITE 109, WALLINGFORD, CT 06492-1832
(203) 697-1067
(203) 284-0492
Mailing address
47 N MAIN ST, SUITE 109, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002882
CT
Other
Enumeration date
01/29/2007
Last updated
08/23/2016
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