Individual
MRS. DARLENE KIM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
108 3RD ST STE 26, ELKINS, WV 26241-3831
(304) 636-4070
(304) 636-4070
Mailing address
RR 1 BOX 170-2, BEVERLY, WV 26253-9748
(304) 636-8157
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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