Individual
JEANNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 AYER RD, HARVARD, MA 01451-1132
(978) 772-8100
Mailing address
PO BOX 540285, WALTHAM, MA 02454-0285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/26/2024
Last updated
08/27/2025
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