NPI
Alicia L. Clark
NPI 1265790240
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DPT
- Type
- Individual
- Enumeration date
- 2012-04-27
- Last updated
- 2023-10-09
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Specialties
Licenses
- License PA
- PT018773
Location
- Practice location
- 4805 Birney Ave
- City
- Moosic PA
- Postal code
- 18507-1231
- Phone
- (570) 774-4200
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Moosic, PA. 227 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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