Individual
SUSAN C CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N MOUNTAIN RD, SUITE A-212, NEWINGTON, CT 06111-1412
(860) 953-0676
Mailing address
19 CENTRAL ST, SUITE H, BYFIELD, MA 01922-1233
(978) 462-4500
(978) 462-1275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3141
CT
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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