Individual
KAYCIE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
91A N STATE ST, CONCORD, NH 03301-4334
(603) 724-2297
Mailing address
47 CADOGAN WAY, NASHUA, NH 03062-2255
(207) 841-2982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1253
NH
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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