Individual
CAROL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 CANADIAN GEESE RD, ATTLEBORO, MA 02703-6851
(508) 269-8648
Mailing address
27 CANADIAN GEESE RD, ATTLEBORO, MA 02703-6851
(508) 269-8648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00243
RI
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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