Individual
MR. CLIFTON PETERRAY CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4707 THISTLE HILL DR, ABERDEEN, MD 21001
(410) 272-3613
Mailing address
4707 THISTLE HILL DRIVE, ABERDEEN, MD 21001-1661
(410) 272-3613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05787
MD
Other
Enumeration date
05/16/2007
Last updated
07/02/2012
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