Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUZANA IRENE CLARK, PTA
ActiveMS. SUZANA IRENE CLARK, PTA is a Specialist healthcare provider located in TANEYTOWN, Maryland. NPI 1932548757 is currently active in the NPPES registry. Verify at CMS.
Specialist · TANEYTOWN, MD
Registration Details
- NPI Number
- 1932548757
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2013 (13.202703346457 yrs)
- Last Updated
- Jun 15, 2013
- License
-
A2412 (MD)
Practice Information
- Address
-
100 ANTRIM BLVDTANEYTOWN, MD, 217872277Browse MD providers · Browse ZIP 21787
- Phone
- 4107566400
- Fax
- 4107565173
- Primary Specialty
-
Specialist
174400000X
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.