Individual
ALEXA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 NORTHAMPTON ST, EASTON, PA 18042-4234
(610) 250-5000
Mailing address
2213 HILL RD, EFFORT, PA 18330-7798
(570) 872-0320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012946
PA
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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