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

TERESA JEAN CLARK, PT

Active

TERESA JEAN CLARK, PT is a Physical Therapy Assistant healthcare provider located in LEONARDTOWN, Maryland. NPI 1407827561 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LEONARDTOWN, MD

Registration Details

NPI Number
1407827561
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2006 (20.50624637414 yrs)
Last Updated
Jul 21, 2022
Licenses
PT20676 (CA)
22809 (MD)

Practice Information

Address
40900 MERCHANTS LANE
SUITE 202
LEONARDTOWN, MD, 20650
Browse MD providers · Browse ZIP 20650
Phone
3019971155
Fax
3019971199
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LEONARDTOWN, MD

Name Credential NPI
RICHARD S HAGEMAN 1699762278
MRS. JENNIFER LYNN ROMAN P.T. 1477540342
MRS. JENELLE L COOPER MPT 1154305183
MRS. TANYA M DAHLBERG PT 1992731251
JENNIFER MATTEI P.T. 1407919517
MR. DAVID C TERBORG MSPT 1396883369
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.