Individual
MRS. DARLENE KIM CLARK
Active
Individual
MRS. DARLENE KIM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
993
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301118000
—
WV
Enumeration date
06/05/2008
Last updated
06/05/2008
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