Theron A Clarke

NPI # 

Practice Address:

13327 231St St

Laurelton, NY, 11413-2121

Practice Phone:

646-725-9403

License Number:

0274631

License State:

NY

Taxonomy Grouping:

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Classification:

Massage Therapist

Taxonomy Code:

225700000X