Individual
MS. ALEXIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
13787 SW 114TH TER, MIAMI, FL 33186-9077
(305) 206-4463
Mailing address
13787 SW 114TH TER, MIAMI, FL 33186-9077
(305) 206-4463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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