Search › Pennsylvania › 2255A2300X
Jae Clark, ATC, LAT
NPI 1760247811 · on the registry since 2024
Practice
- Address
- 1651 Benjamin Franklin Pkwy
Philadelphia, PA 19103 - Phone
- (215) 303-4818
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-19
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 Pennsylvania