Individual
MRS. ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-2000
(518) 926-2020
Mailing address
100 PARK STREET, GLENS FALLS, NY 12801
(518) 926-2000
(518) 926-2020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003713-1
NY
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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