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Abbie Clark, DPT

Physical Therapist in Bradford, PA. Individual provider (NPI-1).

NPI number1679200075
StatusActive
Last updated in NPPESFeb 27, 2024

Details

NPI
1679200075
Entity type
Individual (NPI-1)
Name
Abbie Clark
Credential
DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 4, 2022
Certification date
Feb 27, 2024
Last updated
Feb 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT030767PAYes
225100000X Physical Therapist––

Practice location

100 Saint Francis Dr
Bradford, PA 16701-1868

Phone 814-368-5648

Mailing address

100 Saint Francis Dr
Bradford, PA 16701-1868

Phone 814-368-5648

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