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1851644165
MICHELLE J CLARK
WILLIAMSBURG, VA
NPI
1851644165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204753)
Enumeration Date
2012-10-24
Last Update Date
2019-12-31
Business Address
MICHELLE J CLARK PT, DPT
5424 DISCOVERY PARK BLVD SUITE 101
WILLIAMSBURG, VA 23188-2904
Phone number: 757-345-2512
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Mailing Address
MICHELLE J CLARK PT, DPT
860 OMNI BLVD STE 101
NEWPORT NEWS, VA 23606-4430
Phone number: 757-232-8769
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