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Individual

MARY-KATHERINE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
254 ETHAN ALLEN HWY, NEW HAVEN, VT 05472-1045
(802) 388-7259
Mailing address
PO BOX 754, MIDDLEBURY, VT 05753-0754

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134346
VT

Other

Enumeration date
11/09/2021
Last updated
11/09/2021
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