Search › Massachusetts › 2255A2300X
Jacqueline Clark, ATC, CSCS
NPI 1336552629 · on the registry since 2014 · sole proprietor
Practice
- Address
- 550 Huntington Ave
Boston, MA 02115 - Phone
- (617) 989-4144
- Fax
- (617) 989-4150
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts