Ms. Lisa Ardelle Clarke
Physical Therapy Assistant
2400 Portrush Dr Apt 8
Spartanburg
, South Carolina 29301-3334
Ms. Lisa Ardelle Clarke
Physical Therapy Assistant
2400 Portrush Dr Apt 8
Spartanburg
, South Carolina 29301-3334
(864) 285-4540
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Ms. Lisa Ardelle Clarke
- 2400 Portrush Dr Apt 8
- Spartanburg, SC
- Zip : 29301-3334
- Phone : (864) 285-4540
Second Address
- Ms. Lisa Ardelle Clarke
- 2400 Portrush Dr Apt 8
- Spartanburg, SC
- Zip : 29301-3334
- Phone : (864) 285-4540
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Is Ms. Lisa Ardelle Clarke a sole practitioner?
Is Ms. Lisa Ardelle Clarke accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 1240 | NC |
| N | 225200000X | Physical Therapy Assistant | 1650 | VA |
| Y | 225200000X | Physical Therapy Assistant | 1803 | SC |
National Provider Identifier
| NPI | 1023141694 |
|---|---|
| Provider Name | Ms. Lisa Ardelle Clarke |
| First Address | Spartanburg, SC 29301-3334 |
| Second Address | Spartanburg, SC 29301-3334 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.