Individual
EMILIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
(910) 792-1455
Mailing address
5725 CAROLINA BEACH RD, WILMINGTON, NC 28412-2611
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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