Individual
KELLY ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3800 RESERVOIR RD., BLES BUILDING, GROUND FLOOR, DEPARTMENT OF PM&R, WASHINGTON, DC 20007-2113
(202) 444-4180
Mailing address
2320 WISCONSIN AVE NW APT 302, WASHINGTON, DC 20007-1858
(703) 915-5739
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
872318
DC
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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