Organization
JAMES R. CLARKE, P.T.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARD CLARKE P.T. (PRESIDENT)
(301) 770-3133
Entity
Organization
Contact information
Practice address
11820 PARKLAWN DR, SUITE 180, ROCKVILLE, MD 20852-2529
(301) 770-3133
(301) 770-3015
Mailing address
11820 PARKLAWN DR, SUITE 180, ROCKVILLE, MD 20852-2529
(301) 770-3133
(301) 770-3015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15975
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LZ29JA
CAREFIRST GROUP NUMBER
MD
01
—
S881
CAREFIRST DC GROUP NUMBER
MD
Enumeration date
01/19/2007
Last updated
08/22/2020
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