Individual
MISS ELIZABETH ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
430 NEW SCHAEFFERSTOWN RD, BERNVILLE, PA 19506-8939
(610) 763-3337
Mailing address
1100 E WYOMISSING BLVD, APT 34-C, READING, PA 19611-2142
(610) 763-3337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003812
PA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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