Individual
CORINNA AUGUSTA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(475) 224-7584
Mailing address
177 EAST ST, SOUTHINGTON, CT 06489-3911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008803
CT
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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