Individual
ERICA LYNNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
9311 SE 36TH ST STE 208, MERCER ISLAND, WA 98040-3741
(206) 402-6339
(206) 456-2551
Mailing address
7228 W MERCER WAY, MERCER ISLAND, WA 98040-5572
(206) 954-6936
(206) 456-2551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006742
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7046626
—
WA
Enumeration date
12/05/2005
Last updated
07/26/2022
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