Amanata C Clarke, PT, DPT
Physical Therapist, Pediatrics in Plainview, NY. Individual provider (NPI-1).
NPI number1790915312
StatusActive
Last updated in NPPESJul 16, 2009
Details
- NPI
- 1790915312
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanata C Clarke
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2009
- Last updated
- Jul 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | 031340 | NY | Yes |
Practice location
255 Executive DrPlainview, NY 11803-1718
Phone 516-576-2040
Mailing address
255 Executive DrPlainview, NY 11803-1718
Phone 516-576-2040
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