Individual
MERIDITH ELAINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3951
Mailing address
221 MANNINGS LN, VIRGINIA BEACH, VA 23462-4372
(757) 333-6682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601578
VA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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