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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEROY S. CLARK, PT

Active

LEROY S. CLARK, PT is a Physical Therapy Assistant healthcare provider located in HERMITAGE, Pennsylvania. NPI 1073518122 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · HERMITAGE, PA

Registration Details

NPI Number
1073518122
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2005 (21.127008568129 yrs)
Last Updated
Nov 7, 2007
License
PT007065L (PA)

Practice Information

Address
3120 HIGHLAND RD
HERMITAGE, PA, 161484512
Browse PA providers · Browse ZIP 16148
Phone
7243422663
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in HERMITAGE, PA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.