Marisa Clark
Marisa Clark is a Physical Therapy Assistant in Phoenix, Arizona. Licensed in Maine. Registered with an NPI since 2018.
- Licensed in
- ME
- In the registry since
- 2018
Practice location Address checks out
7540 N 19th AvePhoenix, AZ 85021-7967
Phone: (888) 873-4221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PA5133 (ME) |
|---|
Record details
| NPI number | 1780166397 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 30, 2018 |
| Last updated in NPPES | August 30, 2018 |
| Mailing address | 7540 N 19th Ave, Phoenix, AZ 85021-7967 |
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