Individual
JUSTIN LIAM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-2660
Mailing address
3 MORTIMER PL, BRONXVILLE, NY 10708-4515
(862) 368-1522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
030397
NY
Other
Enumeration date
01/09/2009
Last updated
05/05/2021
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