Individual
JAMES COLBERT CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3131 MEETINGHOUSE RD APT G7, UPPER CHICHESTER, PA 19061-2958
(443) 882-8481
Mailing address
3131 MEETINGHOUSE RD APT G7, UPPER CHICHESTER, PA 19061-2958
(443) 882-8481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0010865
DE
Other
Enumeration date
02/21/2019
Last updated
11/30/2022
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