Individual
MS. AMANATA C CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-2040
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
031340
NY
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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