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

STEPHANIE CLARK, ATC, LAT

Active Sole Proprietor

Athletic Trainer · LONDONDERRY, NH

Registration Details

NPI Number
1336486026
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2013 (13.264359530411 yrs)
Last Updated
Jan 15, 2013
License
AL3254 (FL)
Sole Proprietor
Yes

Practice Information

Address
3 PARK AVE
LONDONDERRY, NH, 030533691
Browse NH providers · Browse ZIP 03053
Phone
6032470474
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LONDONDERRY, NH

Name Credential NPI
MISS LISA GAY WITHAM ATC, LAT 1053448456
MICHELLE HART-MILLER ATC, CSCS 1710006721
GORDON PAN ATC 1740884634
MRS. MEGHAN ELIZABETH POWERS ATC 1003404351
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.