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Individual

MR. EMILE CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19785 CRYSTAL ROCK DR STE 309, GERMANTOWN, MD 20874-4732
(240) 724-6781
Mailing address
19785 CRYSTAL ROCK DR STE 309, GERMANTOWN, MD 20874-4732
(240) 353-9401

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4395
MD

Other

Enumeration date
05/21/2019
Last updated
11/22/2021
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