Doctor Name: | MISS VERONICA CLARK |
NPI Number: | 1053768721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT025095 |
Business Practice Address: | 599 Arcola Rd Suite 208 Collegeville, PA - 194263954 |
Business Phone Number: | 6104894745 |
Business Fax Number: | 6104894209 |
Mailing Address: | 3809 W Chester Pike, Suite 150 NEWTOWN SQUARE |
State: | PA |
Postal Code: | 190732331 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/23/2016 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT025095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |