Individual
BURLEIGH CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1806 LASALLE AVE., NORFOLK, VA 23509
(757) 626-0076
Mailing address
1806 LASALLE AVE., NORFOLK, VA 23509
(757) 626-0076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202251
VA
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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