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1538447560
STEPHANIE RENAE CLARK
CHESAPEAKE, VA
NPI
1538447560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305207045)
Enumeration Date
2011-07-25
Last Update Date
2015-02-13
Business Address
-- STEPHANIE RENAE CLARK PT, DPT
927 BATTLEFIELD BLVD N SUITE 200
CHESAPEAKE, VA 23320-4853
Phone number: 757-436-3350
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Mailing Address
-- STEPHANIE RENAE CLARK PT, DPT
771 PILOT HOUSE DR SUITE A
NEWPORT NEWS, VA 23606-1990
Phone number: 757-873-2302
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