Individual
AMY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HAZARD AVE, ENFIELD, CT 06082-4521
(860) 265-2571
(860) 265-2574
Mailing address
435 HARTFORD TPKE, SUITE U, VERNON, CT 06066-4852
(860) 979-1611
(203) 866-3014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008853
CT
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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