Individual
COURTNEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 N ITHAN AVE, BRYN MAWR, PA 19010-1782
(814) 506-8212
Mailing address
PO BOX 870, HUNTINGDON, PA 16652-0870
(814) 506-8212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT032470
PA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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