JAE CLARK, ATC, LAT
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1760247811
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | RT005767 (PA) |
Frequently Asked Questions
NPI 1760247811 is the National Provider Identifier for JAE CLARK, ATC, LAT, a Specialist/Technologist - Athletic Trainer provider located in Philadelphia, PA. This NPI was enumerated on February 19, 2024.
JAE CLARK, ATC, LAT practices at 1651 BENJAMIN FRANKLIN PKWY, Philadelphia, PA 19103.
Quick Facts
- NPI
- 1760247811
- Type
- Individual
- Enumerated
- Feb 19, 2024
- Last Updated
- Feb 19, 2024
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