Stephanie Clark, ATC, LAT
NPI #1336486026 in Londonderry, New Hampshire
Provider Information
- NPI Number
- 1336486026
- Entity Type
- Individual
- Name
- Stephanie Clark, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Jan 15, 2013
- Last Updated
- Jan 15, 2013
Practice Location
- Address
- 3 PARK AVE
- City
- Londonderry
- State
- New Hampshire
- ZIP Code
- 03053-3691
- Phone
- (603) 247-0474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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