Individual
DANILTON GLENN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
3001 EDWARDS MILL RD # 200, RALEIGH, NC 27612-5243
(919) 781-4060
Mailing address
3001 EDWARDS MILL RD # 200, RALEIGH, NC 27612-5243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20557
NC
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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