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Individual

JENNIFER CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1183 LUTHER DR, HAGERSTOWN, MD 21740-7407
(240) 420-4112
Mailing address
3669 OAKLEY LN, GREENCASTLE, PA 17225-8747
(978) 873-4530
(855) 232-8604

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4348
MD

Other

Enumeration date
08/13/2015
Last updated
04/30/2019
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