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Individual

MR. CLARKE ANDREW PHILIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, MHS

Contact information

Practice address
216 SANTA BARBARA BLVD, CAPE CORAL, FL 33991-2031
(239) 242-0549
(239) 242-0549
Mailing address
1312 SE 36TH TER, CAPE CORAL, SC 33904
(864) 232-6957
(864) 232-6957

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2668
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2668
SC PT LICENSE
SC
Enumeration date
05/30/2007
Last updated
07/08/2007
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