ELAINE CLARK

SYRACUSE, NY
NPI1760509889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  003129)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
-- ELAINE CLARK
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-488-2831
Mailing Address
-- ELAINE CLARK
PO BOX 266
ELBRIDGE, NY 13060-0266
Phone number: