Dr NICOLE GINETTE CLARK is a female medical professional, specializing in Physical Therapy. She graduated in 2003.
SPORTS AND ORTHOPEDIC THERAPY SERVICES LLC
10605 CONCORD ST
SUITE 105
KENSINGTON
MD
208952500
Tel: 3019899040
| Npi | 1821055724 |
| Pac Id | 5193877819 |
| Professional Enrollment Id | I20090710000082 |
| Last Name | CLARK |
| First Name | NICOLE |
| Middle Name | GINETTE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | SPORTS AND ORTHOPEDIC THERAPY SERVICES LLC |
| Group Practice Pac Id | 9133179005 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 10605 CONCORD ST |
| Line 2 Street Address | SUITE 105 |
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| City | KENSINGTON |
| State | MD |
| Zip Code | 208952500 |
| Phone Number | 3019899040 |
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| Professional Accepts Medicare Assignment | Y |
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