Individual
ALLISON NICOLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
818 HIGH ST, SUITE 1, CHESTERTOWN, MD 21620-1152
(410) 778-6565
(410) 778-6536
Mailing address
818 HIGH ST, SUITE 1, CHESTERTOWN, MD 21620-1152
(410) 778-6565
(410) 778-6536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2420
MD
Other
Enumeration date
01/26/2007
Last updated
02/12/2009
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