Individual
COURTNEY NICOLE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
551D BALTIMORE ANNAPOLIS BLVD, SEVERNA PARK, MD 21146-3809
(410) 315-9080
(410) 315-9012
Mailing address
371 WILETT DR, SEVERNA PARK, MD 21146-1920
(412) 848-0835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21325
MD
Other
Enumeration date
12/08/2006
Last updated
01/09/2014
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