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MR. AARON J CLARK DPT

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist

Provider NPI: 1457670085

Provider Information:
MR. AARON J CLARK DPT
Gender: M
Not Sole Proprietor

Practice Location:
506 CROMWELL AVE SUITE 103 ROCKY HILL, CT 06067-1851 US
Tel: 860-721-9801  Fax: 860-721-8475

Business Mailing Address:
506 CROMWELL AVE SUITE 103 ROCKY HILL, CT 06067-1851 US
Tel: 860-721-9801  Fax: 860-721-8475

NPI Information:
NPI: 1457670085
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT008786
N2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT008786
N2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT008786
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT008786
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT008786

Other Provider Identifiers:

IssuerNumberStateType
AETNA119457CT01
CONNECTICARE015353CT01
CIGNA HEALTHCARE0036401CT01
HEALTHNET2V8222CT01



American Medical Association 2012 taxonomy code information

Code: 225100000X

Type:

Classification:



Definition:



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