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Individual

LISA PATRICE CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 INTERNATIONAL CIR # 100, HUNT VALLEY, MD 21030-1334
(240) 413-6656
Mailing address
307 INTERNATIONAL CIR STE 100, HUNT VALLEY, MD 21030-1387
(410) 667-7200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0368791
NY

Other

Enumeration date
04/09/2008
Last updated
03/27/2018
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