Individual
MR. DARYL ANDREW CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE119, GLENN DALE, MD 20769-9182
(301) 805-5006
(301) 805-5004
Mailing address
12200 ANNAPOLIS RD, SUITE119, GLENN DALE, MD 20769-9182
(301) 805-5006
(301) 805-5004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18090
MD
225100000X
Physical Therapist
2800
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3204256
AETNA
MD
01
—
466223
MAMSI OPT CHOICE
MD
01
—
686402-02
CAREFIRST
MD
01
—
7910288
AETNA PPO
MD
01
—
H853 0001
CAREFIRST DC
MD
Enumeration date
02/22/2007
Last updated
06/20/2014
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