Active NPIIndividual provider

Veronica M Clark, PT, DPT

Physical Therapist in Moorestown, New Jersey

NPI Number1053768721
Practice location
605 Glen Ave, Moorestown, NJ 08057-1125
Fax
856-793-9392
Last updated
March 27, 2023

Veronica M Clark is a Physical Therapist based in Moorestown, NJ. Veronica M Clark practices in Moorestown, NJ and has the professional credentials of PT, DPT. The NPI Number for Veronica M Clark is 1053768721 and holds a License No. PT025095 (PA). The current practice location address for Veronica M Clark is 605 Glen Ave, Moorestown, NJ 08057-1125 and can be reached out via phone at 856-335-5060 and via fax at 856-793-9392.

Provider Profile Details

NPI Number
1053768721
Provider Name
Veronica M Clark
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
605 Glen Ave, Moorestown, NJ 08057-1125
Phone Number
856-335-5060
Fax Number
856-793-9392
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
May 23, 2016
Last Update Date
March 27, 2023
Certification Date
March 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
605 Glen Ave
Moorestown, NJ 08057-1125
Zip
08057-1125
Phone Number
856-335-5060
Fax Number
856-793-9392
Moorestown, NJ 08057Get directions →

Provider Business Mailing Address Details

Address
224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
City
Moorestown
State
NJ
Zip
08057-4602
Phone Number
856-677-4000
Fax Number
856-234-3014

License Information

License Number (1)
PT025095
License State (1)
PA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01654900
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Veronica M Clark, PT, DPT?

The NPI number of Veronica M Clark, PT, DPT is 1053768721. It was assigned on May 23, 2016 and is currently active in the NPPES registry.

What is the specialty of Veronica M Clark, PT, DPT?

Veronica M Clark, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in PA under license number PT025095.

Where does Veronica M Clark, PT, DPT practice?

The practice location is 605 Glen Ave, Moorestown, NJ 08057-1125. The office can be reached at 856-335-5060 (phone) or 856-793-9392 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053768721 directly on the NPPES registry website.

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