Individual
MRS. CATHLEEN MARIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
209 PARTRIDGE DR, SOUTHINGTON, CT 06489-4056
(860) 329-2777
(860) 621-1076
Mailing address
209 PARTRIDGE DR, SOUTHINGTON, CT 06489-4056
(860) 329-2777
(860) 621-1076
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
004454
CT
Other
Enumeration date
04/14/2006
Last updated
12/17/2013
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