Individual
DAVID CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
75 FINNELL DR, WEYMOUTH, MA 02188
(781) 335-1151
(781) 335-7851
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20603
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051668
UNITED HEALTHCARE/OPTUM
MA
05
—
110101073A
—
MA
01
—
1269242
CIGNA/ASH
MA
01
—
4741862
AETNA
MA
Enumeration date
09/09/2013
Last updated
07/11/2018
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