Individual
CHRISTINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 BRYANT ST, STROUDSBURG, PA 18360-2303
(908) 295-2272
Mailing address
403 BRYANT ST, STROUDSBURG, PA 18360-2303
(908) 295-2272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037469
NY
225100000X
Physical Therapist
Primary
40QA01546800
NJ
225100000X
Physical Therapist
PT023483
PA
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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