Individual
CHARLENE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4707 140TH AVE N STE 313, CLEARWATER, FL 33762-3841
(727) 223-8978
(727) 303-3952
Mailing address
4707 140TH AVE N STE 313, CLEARWATER, FL 33762-3841
(727) 223-8978
(727) 303-3952
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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