Marisol Paige Ann Clark, DPT

NPI #1235508839 in Irmo, South Carolina

Provider Information

NPI Number: 1235508839
Entity Type: Individual
Name: Marisol Paige Ann Clark, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 24, 2015
Last Updated: Sep 24, 2015

Practice Location

Address: 7467 SAINT ANDREWS RD
Address 2: SUITE 9
City: Irmo
State: South Carolina
ZIP Code: 29063-2875
Phone: (803) 749-5031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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