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Individual

EMILY JANE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 598-1100
Mailing address
47 WONSETTLER RD, SCENERY HILL, PA 15360-1831
(570) 234-5866

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003757
WV
225100000X
Physical Therapist
026115
PA
225100000X
Physical Therapist
295590
CA

Other

Enumeration date
08/26/2019
Last updated
08/26/2019
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