NPI 1336486026
Stephanie Clark, ATCLAT
Practice location
- Address
- 3 Park Ave, Londonderry, NH 03053-3691
- Phone
- (603) 247-0474
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1336486026
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Jan 2013
- Record last updated
- 15 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.